Blood pressure control in a hypertension telemedicine intervention: does distance to primary care matter?
dc.contributor.author | Bowen, Michael E | |
dc.contributor.author | Bosworth, Hayden B | |
dc.contributor.author | Roumie, Christianne L | |
dc.date.accessioned | 2024-02-01T16:28:08Z | |
dc.date.available | 2024-02-01T16:28:08Z | |
dc.date.issued | 2013-10 | |
dc.description.abstract | Although telemedicine may help overcome geographic access barriers, it is unknown whether rural patients receive greater benefits. In a secondary analysis of 503 veterans participating in a hypertension telemedicine study, the authors hypothesized that patients with greater travel distances would have greater improvements in 18-month systolic blood pressure (SBP). Patients were categorized by telemedicine exposure and travel distance to primary care, derived from zip codes. Comparisons were (1) usual care (UC), distance <30 miles (reference); (2) UC, distance ≥30 miles; (3) telemedicine, distance <30 miles; (4) telemedicine, distance ≥30 miles. Compared with patients receiving UC, distance <30 miles (intercept=127.7), no difference in 18-month SBP was observed in patients receiving UC, distance ≥30 miles (0.13 mm Hg, 95% confidence interval [-6.6 to 6.8]); telemedicine, distance <30 miles (-1.1 mm Hg [-7.3 to 5.2]); telemedicine, distance ≥30 miles (-0.80 mm Hg [-6.6 to 5.1]). Although telemedicine may help overcome geographic access barriers, additional studies are needed to identify patients most likely to benefit. | |
dc.identifier.issn | 1524-6175 | |
dc.identifier.issn | 1751-7176 | |
dc.identifier.uri | ||
dc.language | eng | |
dc.publisher | Wiley | |
dc.relation.ispartof | Journal of clinical hypertension (Greenwich, Conn.) | |
dc.relation.isversionof | 10.1111/jch.12172 | |
dc.rights.uri | ||
dc.subject | Humans | |
dc.subject | Hypertension | |
dc.subject | Treatment Outcome | |
dc.subject | Retrospective Studies | |
dc.subject | Telemedicine | |
dc.subject | Blood Pressure | |
dc.subject | Aged | |
dc.subject | Middle Aged | |
dc.subject | Veterans | |
dc.subject | Primary Health Care | |
dc.subject | Delivery of Health Care | |
dc.subject | Health Services Accessibility | |
dc.subject | United States | |
dc.subject | Female | |
dc.subject | Male | |
dc.title | Blood pressure control in a hypertension telemedicine intervention: does distance to primary care matter? | |
dc.type | Journal article | |
duke.contributor.orcid | Bosworth, Hayden B|0000-0001-6188-9825 | |
pubs.begin-page | 723 | |
pubs.end-page | 730 | |
pubs.issue | 10 | |
pubs.organisational-group | Duke | |
pubs.organisational-group | School of Medicine | |
pubs.organisational-group | Basic Science Departments | |
pubs.organisational-group | Clinical Science Departments | |
pubs.organisational-group | Institutes and Centers | |
pubs.organisational-group | Medicine | |
pubs.organisational-group | Psychiatry & Behavioral Sciences | |
pubs.organisational-group | Medicine, General Internal Medicine | |
pubs.organisational-group | Duke Cancer Institute | |
pubs.organisational-group | Duke Clinical Research Institute | |
pubs.organisational-group | Institutes and Provost's Academic Units | |
pubs.organisational-group | Center for the Study of Aging and Human Development | |
pubs.organisational-group | Initiatives | |
pubs.organisational-group | Duke Science & Society | |
pubs.organisational-group | Population Health Sciences | |
pubs.organisational-group | Duke Innovation & Entrepreneurship | |
pubs.organisational-group | Psychiatry & Behavioral Sciences, Behavioral Medicine & Neurosciences | |
pubs.organisational-group | Duke - Margolis Center For Health Policy | |
pubs.publication-status | Published | |
pubs.volume | 15 |
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