Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Can J Cardiol. 2021 May;37(5):711-721. doi: 10.1016/j.cjca.2020.12.009. Epub 2020 Dec 17.
Although many aspects of our lives have been transformed by digital innovation, widespread adoption of digital health advancements within the health care sector in general, and for hypertension care specifically, has been limited. However, it is likely that, over the next decade, material increases in the uptake of digital health innovations for hypertension care delivery will be seen. In this narrative review, we summarise those innovations thought to have the greatest chance for impact in the next decade. These include provision of virtual care combined with home blood pressure (BP) telemonitoring, use of digital registries and protocolised care, leveraging continuous BP measurement to collect vast amounts of individual and population-based BP data, and adoption of digital therapeutics to provide low-cost scalable interventions for patients with or at risk for hypertension. Of these, home BP telemonitoring is likely the most ready for implementation, but it needs to be done in a way that enables efficient guideline-concordant care in a cost-effective manner. In addition, efforts must be focused on implementing digital health solutions in a manner that addresses the major challenges to digital adoption. This entails ensuring that innovations are accessible, usable, secure, validated, evidence based, cost-effective, and integrated into the electronic systems that are already used by patients or providers. Increasing the use of broader digital innovations such as artificial/augmented intelligence, data analytics, and interactive voice response is also critically important. The digital revolution holds substantial promise, but success will depend on the ability of collaborative stakeholders to adopt and implement innovative, usable solutions.
尽管数字创新已经改变了我们生活的许多方面，但数字健康技术在医疗保健领域的广泛应用，特别是在高血压治疗方面，一直受到限制。然而，在未来十年，我们很可能会看到数字健康创新在高血压治疗中的应用大幅增加。在这篇叙述性综述中，我们总结了那些被认为在未来十年最有影响力的创新。这些创新包括提供虚拟护理与家庭血压（BP）远程监测相结合，使用数字登记册和规范化护理，利用连续血压测量收集大量个体和基于人群的 BP 数据，以及采用数字疗法为高血压患者或有高血压风险的患者提供低成本、可扩展的干预措施。在这些创新中，家庭 BP 远程监测可能是最容易实施的，但需要以一种能够以具有成本效益的方式实现符合指南的有效护理的方式进行。此外，必须集中精力以能够解决数字采用主要挑战的方式实施数字健康解决方案。这需要确保创新具有可及性、可用性、安全性、有效性、成本效益，并整合到患者或提供者已经使用的电子系统中。增加使用更广泛的数字创新，如人工智能/增强现实、数据分析和交互式语音响应，也至关重要。数字革命具有巨大的潜力，但成功将取决于合作利益相关者采用和实施创新、可用解决方案的能力。
