Morrissey Eimear C, Glynn Liam G, Casey Monica, Walsh Jane C, Molloy Gerard J
School of Psychology, National University of Ireland Galway, Galway, Ireland.
Graduate Entry Medical School, University of Limerick, Limerick, Ireland.
Fam Pract. 2018 May 23;35(3):318-322. doi: 10.1093/fampra/cmx100.
Digital health interventions, such as those that can be delivered via smartphone applications (apps) or wireless blood pressure monitors, offer a new, scalable and potentially cost-effective way to improve hypertension self-management. In Ireland, as is common in the UK, the majority of hypertension management occurs in general practice. Therefore, it is crucial to investigate how general practitioners (GPs) feel about and engage with the growth of these new methods of self-management of blood pressure.
To explore GPs' perspectives of self-management technology to support medication adherence and blood pressure control in patients with hypertension.
This was a qualitative interview study based in the West of Ireland. Ten GPs who were purposively sampled participated in semi-structured interviews. Thematic analysis was carried out on the data.
Three major themes were identified: current reach and future potential, empowerment and responsibility.
GPs could see the benefit of using these technologies, such as more accurate blood pressure data and potential to engage patients in self-management. Concerns relating to the increased workload associated with a potentially unmanageable quantity of information and an increase in healthcare use among the 'worried well' also emerged strongly from the data.
数字健康干预措施，如可通过智能手机应用程序（应用）或无线血压监测器提供的那些措施，为改善高血压自我管理提供了一种新的、可扩展且可能具有成本效益的方法。在爱尔兰，与英国一样，大多数高血压管理在全科医疗中进行。因此，调查全科医生（GP）对这些新的血压自我管理方法的发展有何看法以及如何参与其中至关重要。
探讨全科医生对支持高血压患者药物依从性和血压控制的自我管理技术的看法。
这是一项基于爱尔兰西部的定性访谈研究。有目的地抽取了10名全科医生参与半结构化访谈。对数据进行了主题分析。
确定了三个主要主题：当前覆盖范围和未来潜力、赋权与责任。
全科医生能够看到使用这些技术的益处，如更准确的血压数据以及促使患者参与自我管理的潜力。数据中还强烈反映出与潜在难以管理的信息量增加相关的工作量增加以及“过度担忧健康者”医疗保健使用增加的问题。
