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A survey was conducted by Dr. Ronald
Wheeler, Primary Care Center Leader at the Kaiser Permanente
Largo Medical Center, to assess the reaction of physicians
who used our home
blood pressure telemonitoring service in a year-long clinical
trial. Physicians reported a high degree of satisfaction,
citing
better medication compliance and blood pressure control, fewer
prescriptions for white
coat hypertensives, and fewer office visits. They unanimously
recommended that this service become a part of their standard
clinical procedure.
- 95% found the service “useful”
or “very useful.”
- 79% of physicians reported that
patients’ compliance with medication was improved.
- 95% reported better blood pressure
control.
- 82% said that they refrained from
prescribing medication for patients with white coat hypertension.
- 80% said that telemonitoring reduced
office visits.
- 100% of respondents said the service
should be made available for all of their hypertensive patients.
- “We’ve got a pregnant
woman who is hypertensive, and she has only one kidney.
The only reason she’s not in the hospital right now
is your telemonitoring service. We’re constantly adjusting
her aldomet, and if it weren’t for the daily home
blood pressure reports, with lots of readings each day,
we would have to bring her into the hospital. I love this
system.”-- Paul Bernstein MD, Rochester General
Hospital
- “I’ve got a lot of
patients who tell me their pressure is fine when they check
it in the drugstore, and it’s only high when they
see me. I know that in some cases this is true, but in others
it isn’t, and I can’t tell which is which. Giving
them this monitor is like sitting behind a two-way mirror...
I can tell what’s really going on in their lives.”
--Virginia Littauer RN, Nurse Case Manager
- “Using this system in pregnancy
is terrific. It was so clear to me when things were changing.
I would look at the report and say ‘tomorrow, I’m
going to start her on medication.’ I really enjoy
using it.” - - Ellen Seely MD, Brigham & Women’s
Hospital High Risk Pregnancy Center
- “I was skeptical at first,
but now I see the point… I’ve got patients whose
blood pressure is good, but they would come in once a month
to make sure. Now, they check whenever they want, and your
system tells them they’re okay. I see their pressures
every month, but I see them only once in 6 months.”--Ronald
Wheeler MD, Primary Care Center Leader, Kaiser Permanente
Largo Medical Center
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