Keywords: digital technology, digital assistant, arterial hypertension, adherence, family medicine
Introduction:
Arterial hypertension is a high prevalence disease with poor self-control, poor adherence, and unsatisfactory clinical outcomes. As we live and act in an omnipresence of digital technology we decided to explore the level of help that digital technology can provide to family doctor during follow up and management of arterial hypertension.
Method:
Estimated number of participants is N=180 (90 examinees, 90 controls). Sampling will be done alternately between patients who come to FM office, and who enter the including criteria. Examinees will use digital assistant to take records of the BP measurement, while control group will keep record of their BP log on a paper. Planned follow up consultations are after 3, 9 and 16 months.
Goals of the study are to determine values of systolic and diastolic BP in both groups, to determine medication adherence rate, and duration of
family doctors consultation regarding AH.
Results:
Preliminary results (pilot project) showed that patients using digital assistant recorded a decrease of average systolic BP for -4mmHg, and doctor's experience is also very positive (time duration of consultation regarding AH regulation is reduced, and insight into patient's BP is clearer).
Conclusions:
A digital assistant via mobile application message service is a user friendly tool for patients and valuable assistance for family medicine doctors in follow up and management of arterial hypertension. It provides data and support that benefits both to family medicine doctors and patients.
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