Department of Population Health Sciences, Duke University School of Medicine, 215 Morris St., Suite 210, Durham, NC, 27701, USA.
Duke Global Health Institute, Duke University, Durham, NC, USA.
Curr Hypertens Rep. 2019 Aug 26;21(10):75. doi: 10.1007/s11906-019-0983-2.
To review the current literature on use of telehealth at different stages of the hypertension control cascade in sub-Saharan Africa (SSA) and to discuss opportunities to harness technology infrastructure in SSA to improve population-level blood pressure control.
Despite the high burden of hypertension in SAA, strategies to improve awareness, diagnosis, and management are inadequate. In high-income countries, telehealth has increased patient access to high-quality care at reduced costs. Notwithstanding the limited evidence on the use of telehealth at the different stages of the hypertension control cascade in SSA, the few published interventions in this review reported reduction of blood pressure and increase in the proportion of individuals with controlled blood pressure. Telehealth use across the hypertension control cascade in SSA is promising. These under-resourced settings provide opportunity to better understand the demand for these interventions in order to achieve meaningful clinical outcomes.
回顾撒哈拉以南非洲（SSA）不同高血压控制阶段使用远程医疗的现有文献，并讨论利用 SSA 技术基础设施提高人群血压控制水平的机会。
尽管 SAA 高血压负担沉重，但提高认识、诊断和管理的策略仍不充分。在高收入国家，远程医疗增加了患者获得高质量医疗服务的机会，同时降低了成本。尽管 SSA 高血压控制各个阶段使用远程医疗的证据有限，但本综述中报道的少数已发表干预措施报告了血压降低和血压控制人数增加。SSA 整个高血压控制范围内使用远程医疗是有希望的。这些资源匮乏的环境提供了更好地了解对这些干预措施的需求的机会，以实现有意义的临床结果。
