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

https://hdl.handle.net/10161/30032

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

https://creativecommons.org/licenses/by-nc/4.0

dc.subject

Humans

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Hypertension

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Treatment Outcome

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Retrospective Studies

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Telemedicine

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Blood Pressure

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Aged

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Middle Aged

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Veterans

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Primary Health Care

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Delivery of Health Care

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Health Services Accessibility

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United States

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Female

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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

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School of Medicine

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Basic Science Departments

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Clinical Science Departments

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Institutes and Centers

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Medicine

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Psychiatry & Behavioral Sciences

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Medicine, General Internal Medicine

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Duke Cancer Institute

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Duke Clinical Research Institute

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Institutes and Provost's Academic Units

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Center for the Study of Aging and Human Development

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Initiatives

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Duke Science & Society

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Population Health Sciences

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Duke Innovation & Entrepreneurship

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Psychiatry & Behavioral Sciences, Behavioral Medicine & Neurosciences

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Duke - Margolis Center For Health Policy

pubs.publication-status

Published

pubs.volume

15

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