Medical Telemonitoring for the Management of Hypertension in Older Patients in Japan
Abstract
:1. Introduction
2. Methods
3. Current Evidence for Hypertension Management in Older People
4. State-of-the-Art Evidence of BP Telemonitoring for the Management of Hypertension
5. Cardiovascular Disease and Hypertension: Current Status in Japan
6. Implementation of Medical Telemonitoring for Older People with Hypertension in Japan
6.1. Blood Pressure Measurement
6.2. Frailty
6.3. Nonadherence
6.4. Clinical Inertia
6.5. Monitoring of Adverse Events
6.6. Geographically Remote Rural Areas
6.7. Patients Living in Nursing Care Facilities
7. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Advantages | Disadvantages | |
---|---|---|
For physicians | ||
Assessment of whole blood pressure (BP) data sets | Need to provide simple and user-friendly devices | |
Accurate/reliable BP data | Need maintenance of systems | |
Easy to assess the mean BP data calculated automatically | May be time-consuming to input patients’ BP data | |
BP levels can be determined quickly after changes in antihypertensive medication | Need to log onto websites for checking data | |
Provision of personalized self-care recommendations | May require help of others to make the system work | |
Saving time for consultation | Need to ensure data security and patients’ privacy | |
Identification of white-coat hypertension and masked hypertension | Need to consider legal and ethical issues | |
Assessment of seasonal BP variation | Need to interoperate with existing systems | |
Medication adherence can be confirmed | ||
Easy to share medical information and consult with specialists | ||
For patients | ||
Good BP control | Additional costs to use data transmission system | |
Increased motivation for BP measurements | Need to build an internet environment | |
BP measured easily without the need to record BP levels in a logbook | Need training to use devices correctly | |
Cost effective in reducing cardiovascular disease | Need to consider digital literacy | |
Reduced frequency of office visits | May cause anxiety and too frequent monitoring | |
Reduced risks of adverse events by antihypertensive medications | May give a sense of insecurity that they are constantly being monitored | |
Rural locations or natural disaster-affected areas not a barrier | ||
Family or physicians can confirm the safe status of patients | ||
Easy to communicate with his/her healthcare professionals |
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Fujiwara, T.; Sheppard, J.P.; Hoshide, S.; Kario, K.; McManus, R.J. Medical Telemonitoring for the Management of Hypertension in Older Patients in Japan. Int. J. Environ. Res. Public Health 2023, 20, 2227. https://doi.org/10.3390/ijerph20032227
Fujiwara T, Sheppard JP, Hoshide S, Kario K, McManus RJ. Medical Telemonitoring for the Management of Hypertension in Older Patients in Japan. International Journal of Environmental Research and Public Health. 2023; 20(3):2227. https://doi.org/10.3390/ijerph20032227
Chicago/Turabian StyleFujiwara, Takeshi, James P. Sheppard, Satoshi Hoshide, Kazuomi Kario, and Richard J. McManus. 2023. "Medical Telemonitoring for the Management of Hypertension in Older Patients in Japan" International Journal of Environmental Research and Public Health 20, no. 3: 2227. https://doi.org/10.3390/ijerph20032227