SWOT-analysis: Remote monitoring of blood pressure
- Авторлар: Demkina A.E.1, Korobeynikova A.N.2, Rogoza A.N.3, Vladzimirskiy A.V.1
-
Мекемелер:
- Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies
- Center of Cardiology and Neurology
- National Medical Research Centre of Cardiology Named After Academician E.I. Chazov
- Шығарылым: Том 5, № 2 (2024)
- Беттер: 303-317
- Бөлім: Reviews
- URL: https://journal-vniispk.ru/DD/article/view/264840
- DOI: https://doi.org/10.17816/DD568899
- ID: 264840
Дәйексөз келтіру
Толық мәтін
Аннотация
Global political and socioeconomic changes have caused a huge strain on the healthcare system. To transition into a new level of medical care, modern technological solutions are needed. Accelerated development of innovations in medicine and the formation of a personalized approach will improve the quality and accessibility of medical services. One of the directions of healthcare development is the use of digital technologies and remote monitoring in assessing the health indicators of citizens. Currently, the federal project of remote monitoring of patients with arterial hypertension, named, “Personal Medical Assistants,” is being implemented in the Russian Federation. Similar to any new technology, remote monitoring has advantages and disadvantages. In this article, a strategic analysis (SWOT-analysis) was performed, considering medical, economic, social, and political aspects that may affect the results of the federal project. For effective implementation of remote monitoring technology in clinical practice, the strengths and weaknesses in the healthcare system and the state as a whole must be emphasized. SWOT-analysis can be used in formulating strategies for the widespread use of new digital technologies in clinical practice.
Негізгі сөздер
Толық мәтін
##article.viewOnOriginalSite##Авторлар туралы
Alexandra Demkina
Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies
Email: ademkina@bk.ru
SPIN-код: 4657-5501
MD, Cand. Sci (Medicine)
Ресей, MoscowAnna Korobeynikova
Center of Cardiology and Neurology
Хат алмасуға жауапты Автор.
Email: anna_best2004@mail.ru
ORCID iD: 0000-0002-8934-7021
SPIN-код: 9728-9583
MD, Cand. Sci. (Medicine)
Ресей, KirovAnatoliy Rogoza
National Medical Research Centre of Cardiology Named After Academician E.I. Chazov
Email: anrogoza@gmail.com
ORCID iD: 0000-0002-4829-0954
SPIN-код: 9362-3496
Dr. Sci. (Biology), Professor
Ресей, MoscowAnton Vladzimirskiy
Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies
Email: a.vladzimirskiy@npcmr.ru
ORCID iD: 0000-0002-2990-7736
SPIN-код: 3602-7120
MD, Dr. Sci. (Medicine)
Ресей, MoscowӘдебиет тізімі
- Zudin AB, Chepin VO. Global Challenges for Russian Healthcare. Byulleten’ Natsional’nogo nauchno-issledovatel’skogo instituta obshchestvennogo zdorov’ya imeni N.A. Semashko. 2016;(5):41–45. (In Russ). EDN: XWOKVJ
- Boytsov SA, Demkina AE, Oshchepkova EV, Dolgusheva YuA. Progress and Problems of Practical Cardiology in Russia at the Present Stage. Kardiologiia. 2019;59(3):53–59. EDN: CJGCQF doi: 10.18087/cardio.2019.3.10242
- Boytsov SA, Pogosova NV, Bubnova MG, et al. Cardiovascular prevention 2017. National Guidelines. Russian Journal of Cardiology. 2018;23(6):7–122. EDN: XSLTTF doi: 10.15829/1560-4071-2018-6-7-122
- Balanova YuA, Shalnova SA, Imaeva AE, et al. Prevalence, Awareness, Treatment and Control of Hypertension in Russian Federation (Data of Observational ESSERF-2 Study). Rational Pharmacotherapy in Cardiology. 2019;15(4):450–466. EDN: ZRWESV doi: 10.20996/1819-6446-2019-15-4-450-466
- Lebedev GS, Vladzymyrskyy AV, Shaderkin IA, Dudareva VP. Remote monitoring complex for chronic noncommunicable diseases. Russian Journal of Telemedicine and E-Health. 2020;8(1):7–14. EDN: NMFKNG doi: 10.29188/2712-9217-2022-8-1-7-14
- Nikolaev VA. Innovative technologies for personalized medicine. Forcipe. 2019;2(S3):40–41. EDN: UEPRRX
- Bautista LE. Predictors of persistence with antihypertensive therapy: Results from the NHANES. Am J Hypertens. 2008;21(2):183–188. doi: 10.1038/ajh.2007.33
- Paramore LC, Halpern MT, Lapuerta P, et al. Impact of poorly controlled hypertension on health care resource utilization and cost. Am J Manag Care. 2001;7(4):89–98.
- Varma N, Epstein AE, Irimpen A, et al. TRUST investigators. Efficacy and safety of automatic remote monitoring for implantable cardioverter-defibrillator follow-up: the lumos-t safely reduces routine office device follow-up (TRUST) Trial. Circulation. 2010;122(4):325–332. doi: 10.1161/CIRCULATIONAHA.110.937409
- Sana F, Isselbacher EM, Singh JP, et al. Wearable Devices for Ambulatory Cardiac Monitoring: JACC State-of-the-Art Review. J Am CollCardiol. 2020;75(13):1582–1592. doi: 10.1016/j.jacc.2020.01.046
- Cleland JGF, Louis AA, Rigby AS, et al. Noninvasive home telemonitoring for patients with heart failure at high risk of recurrent admission and death: the Trans-European Network-Home-Care Management System (TEN-HMS) study. Journal of the American College of Cardiology. 2005;45(10):1654–1664. doi: 10.1016/j.jacc.2005.01.050
- Pyzhlakov DS. Strengths and Opportunities. The concept of dynamic SWOT analysis. Russian Journal of Entrepreneurship. 2008;(6-1):133–138. (In Russ). EDN: JKONSZ
- Lewington S, Clarke R, Qizilbash N, et al. Age-specific relevance of usual blood pressure to vascular mortality. The Lancet. 2003;361(9366):1391–1392. doi: 10.1016/S0140-6736(03)13061-9
- Slimko ML, Mensah GA. The role of diets, food, and nutrients in the prevention and control of hypertension and prehypertension. Clinical Cardiology. 2010;4(28):665–674. doi: 10.1016/j.ccl.2010.08.001
- Chazova IE, Oshchepkova EV. Results of the federal (national) project for prevention and treatment essential hypertension patients in Russia from 2002–2012 years. Annals of the Russian academy of medical sciences. 2013;68(2):4–11. EDN: PWEBNT doi: 10.15690/vramn.v68i2.542
- McKoy J, Fitzner K, Margetts M, et al. Are telehealth technologies for hypertension care and self-management effective or simply risky and costly. Popul Health Manag. 2015;18(3):192–202. doi: 10.1089/pop.2014.0073
- Fitzner K, Moss G. Telehealth-an effective delivery method for diabetes self-management education. Popul Health Manag. 2013;16(3):169–177. doi: 10.1089/pop.2012.0054
- Flodgren G, Rachas A, Farmer AJ, Inzitari M, Shepperd S. Interactive telemedicine: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2015;2015(9):CD002098. doi: 10.1002/14651858.CD002098.pub2
- Piette JD, Marinec N, Gallegos-Cabriales EC, et al. Spanish-speaking patients’ engagement in interactive voice response (IVR) support calls for chronic disease self-management: data from three countries. Telemed Telecare. 2013;19(2):89–94. doi: 10.1177/1357633x13476234
- Kaambwa B, Bryan S, Jowett S, et al. Telemonitoring and self-management in the control of hypertension (TASMINH2): a cost-effectiveness analysis. Eur J Prev Cardiol. 2014;21(12):1517–1530. doi: 10.1177/2047487313501886
- Maciejewski ML, Bosworth HB, Olsen MK, et al. Do the benefits of participation in a hypertension self-management trial persist after patients resume usual care. Circ Cardiovasc Qual Outcomes. 2014;7(2):269–275. doi: 10.1161/CIRCOUTCOMES.113.000309
- Shaderkin IA, Shaderkina VA. Remote health monitoring: motivating patients. Journal of Telemedicine and E-Health. 2020;6(3):37–43. EDN: PBHHKX doi: 10.29188/2542-2413-2020-6-3-37-43
- Wise J. Activity trackers, even with cash incentives, do not improve health. BMJ. 2016;355:i5392. doi: 10.1136/bmj.i5392
- Jones MI, Greenfield SM, Bray EP, et al. Patients’ experiences of self-monitoring blood pressure and self-titration of medication: the TASMINH2 trial qualitative study. Br J Gen Pract. 2012;65(595):e135–e142. doi: 10.3399/bjgp12X625201
- Shaw RJ, Kaufman MA, Bosworth HB, et al. Organizational factors associated with readiness to implement and translate a primary care-based telemedicine behavioral program to improve blood pressure control: the HTN-IMPROVE study. Implement Sci. 2013;8. doi: 10.1186/1748-5908-8-106
- AbuDagga A, Resnick HE, Alwan M. Impact of Blood Pressure Telemonitoring on Hypertension Outcomes: A Literature Review. Telemedicine and eHealth. 2010;16(7):830–838. doi: 10.1089/tmj.2010.0015
- Chandak A, Joshi A. Self-management of hypertension using technology enabled interventions in primary care settings. Technology and Health Care. 2015;23(2):119–128. doi: 10.3233/thc-140886
- McKinstry B, Hanley J, Lewis S. Telemonitoring in the management of high blood pressure. Curr Pharm Des. 2015;21(6):823–827. doi: 10.2174/1381612820666141024154232
- Sivakumaran D, Earle K. Telemonitoring: use in the management of hypertension. Vascular Health and Risk Management. 2014;10:217–224. doi: 10.2147/vhrm.s36749
- Kontsevaya AV, Komkov DS, Boytsov SA. The modeling as a technique of evaluation of expediency of remote monitoring of arterial tension at the regional level. Health Care of the Russian Federation. 2017;61(1):10–16. EDN: YFOKVP doi: 10.18821/0044-197X-2017-61-1-10-16
- Ho K. Health-e-Apps: A project to encourage effective use of mobile health applications. BCMJ. 2013;55(10):458–460.
- Isaeva AV, Krasnova KS, Tagoev YuSh, et al. A study of the digital readiness of patients with chronic heart failure. Russian Journal of Preventive Medicine and Public Health. 2023;26(3):101–108. EDN: DGKTAU doi: 10.17116/profmed202326031101
- Baysangurov AF, Arutyunova NN, Baysangurova MM. Analysis of the demotivation factors that reduce the efficiency of employees. Digital Diagnostics. 2021;2(2S):10–11. EDN: VGEGJF doi: 10.17816/DD83175
- Davoudi A, Lee NS, Chivers C, et al. Patient interaction phenotypes with an automated remote hypertension monitoring program and their association with blood pressure control: observational study. J Med Internet Res. 2020;22(12):e22493. doi: 10.2196/22493
- Vandenberk T, Lanssens D, Storms V, et al. Relationship Between Adherence to Remote Monitoring and Patient Characteristics: observational study in women with pregnancy-induced hypertension. JMIR mHealth and uHealth. 2019;7(8):e12574. doi: 10.2196/12574
- Case MA, Burwick HA, Volpp KG, et al. Accuracy of smartphone applications and wearable devices for tracking physical activity data. JAMA. 2015;313(6):625–626. doi: 10.1001/jama.2014.17841
- O’Kane MJ. Efficacy of self-monitoring of blood glucose in patients with newly diagnosed type 2 diabetes (ESMON study): randomised controlled trial. BMJ. 2008;336(7654):1174–1180. doi: 10.1136/bmj.39534.571644.BE
- Walker RC, Tong A, Howard K, et al. Patient expectations and experiences of remote monitoring for chronic diseases: Systematic review and thematic synthesis of qualitative studies. Int J Med Inform. 2019;124:78–85. doi: 10.1016/j.ijmedinf.2019.01.013
- Mareev YuV, Zinchenko AO, Myasnikov RP, et al. Telemonitoring in patients with chronic heart failure. Kardiologiia. 2019;59(S9):4–15. EDN: ISWIAY doi: 10.18087/cardio.n530
- Omboni S, Ferrari R. The role of telemedicine in hypertension management: focus on blood pressure telemonitoring. Curr Hypertens Rep. 2015;17. doi: 10.1007/s11906-015-0535-3
- Gazit T, Gutman M, Beatty AL. Assessment of hypertension control among adults participating in a mobile technology blood pressure self-management program. JAMA Netw Open. 2021;4(10):e2127008. doi: 10.1001/jamanetworkopen.2021.27008
- Komkov DS, Baturin DI, Kulikov AA, et al. The role of SMS-informing in the dispensary monitoring of patients with arterial hypertension. Arterial’naya Gipertenziya. 2015;21(S1):91. (In Russ). EDN: WEPXLT
- Komkov DS, Goryachkin EA, Korsunsky DV, et al. Clinical effectiveness of various models of telemedicine technologies in patients with arterial hypertension. Russian Journal of Preventive Medicine and Public Health. 2020;23(4):27–35. EDN: PMROKX doi: 10.17116/profmed20202304127
- Melnyk SD, Zullig LL, McCant F, et al. Telemedicine cardiovascular risk reduction in veterans. Am Heart J. 2013;165(4):501–508. doi: 10.1016/j.ahj.2012.08.005
- Kalinina AM, Gornyy BE, Dubovoy II, et al. The attitude of primary care physicians to the use of telemedicine technologies in dispensary observation of patients with chronic diseases (medical and sociological research). Russian Journal of Preventive Medicine and Public Health. 2020;23(6):8–13. EDN: TIADWK doi: 10.17116/profmed2020230628
- Wang V, Smith VA, Bosworth HB, et al. Economic evaluation of telephone self-management interventions for blood pressure control. Am Heart J. 2012;163(6):980–986. doi: 10.1016/j.ahj.2012.03.016
- Cuspidi C, Facchetti R, Dell’Oro R, et al. Office and out-of-office blood pressure changes over a quarter of century: findings from the PAMELA Study. Hypertension. 2020;76(3):759–765. doi: 10.1161/HYPERTENSIONAHA.120.15434
- Mancia G, Facchetti R, Bombelli M, et al. Long-term risk of mortality associated with selective and combined elevation in office, home, and ambulatory blood pressure. Hypertension. 2006;47(5):846–853. doi: 10.1161/01.HYP.0000215363.69793.bb
- Stergiou GS, Salgami EV, Tzamouranis DG, Roussias LG. Masked hypertension assessed by ambulatory blood pressure versus home blood pressure monitoring: is it the same phenomenon. Am J Hypertens. 2005;18(6):772–778. doi: 10.1016/j.amjhyper.2005.01.003
- Pickering TG. Self-monitoring of blood pressure. In: Ambulatory Monitoring and Blood Pressure Variability (Part 1). London: Science Press; 1990.
- Pickering T. Recommendations for the use of home (self) and ambulatory blood pressure monitoring. American Society of Hypertension Ad Hoc Panel. Am J Hypertens. 1996;9(1):1–11. doi: 10.1016/0895-7061(95)00341-x
- Barochiner J, Posadas Martínez ML, Martínez R. Reproducibility of masked uncontrolled hypertension detected through home blood pressure monitoring. J Clin Hypertens (Greenwich). 2019;21(7):877–883. doi: 10.1111/jch.13596
- Myers MG. Reporting bias in self-measurement of blood pressure. Blood Press Monit. 2001;(6):181–183.
- Miao H, Liu Y, Tsai TC, Schwartz J, Ji JS. Association between blood lead level and uncontrolled hypertension in the US population (NHANES 1999-2016). J Am Heart Assoc. 2020;9(13):e015533. doi: 10.1161/JAHA.119.015533
- Jackson SL, Gillespie C, Shimbo D, Rakotz M, Wall HK. Blood Pressure Cuff Sizes for Adults in the United States: National Health and Nutrition Examination Survey, 2015–2020. Am J Hypertens. 2022;35(11):923–928. doi: 10.1093/ajh/hpac104
- Cepeda M, Pham P, Shimbo D. Status of ambulatory blood pressure monitoring and home blood pressure monitoring for the diagnosis and management of hypertension in the US: an up-to-date review. Hypertens Res. 2023;46:620–629. doi: 10.1038/s41440-022-01137-2
- Duan Y, Xie Z, Dong F, et al. Effectiveness of home blood pressure telemonitoring: a systematic review and meta-analysis of randomised controlled studies. Journal of Human Hypertension. 2017;31:427–437. doi: 10.1038/jhh.2016.99
- Bubnova MG, Tribuntseva LV, Ostroushko NI, et al. Impact of remote follow-up on the course of hypertension. The Russian Journal of Preventive Medicine. 2018;21(5):77–82. EDN: YPHTZJ doi: 10.17116/profmed20182105177
- Schoenhagen P, Mehta N. Big data, smart computer systems, and doctor-patient relationship. European Heart Journal. 2017;38(7):508–510. doi: 10.1093/eurheartj/ehw217
- Sharova DE, Zinchenko VV, Akhmad ES, et al. On the issue of ethical aspects of the artificial intelligence systems implementation in healthcare. Digital Diagnostics. 2021;2(3):356−368. EDN: TGZGZZ doi: 10.17816/DD77446
- Kario K, Tomitani N, Kanegae H, et al. The further development of out-of-office BP monitoring: Japan’s ImPACT Program Project’s achievements, impact, and direction. J Clin Hypertens (Greenwich). 2019;21(3):344–349. doi: 10.1111/jch.13495
- Starodubtseva IA, Sharapova YuA. The Distance Monitoring of Blood Pressure as a Tool for Improving of the Quality of Follow-Up Observation of Patients with Arterial Hypertension. The Russian Archives of Internal Medicine. 2021;11(4):255–263. EDN: FTKKTE doi: 10.20514/2226-6704-2021-11-4-255-263
- Karpov OE, Khramov AE. Information Technology, Computing and Artificial Intelligence in Medicine. Moscow: DPK Press; 2022. (In Russ).
- Buldakova TI, Mikov DA, Sokolova AV. Data Security at Remote Monitoring of Human State. Herald of the Bauman Moscow state technical university. Series Instrument engineering. 2020;(4):42–57. EDN: QHBUUF doi: 10.18698/0236-3933-2020-4-42-57
- Alessa T, Hawley MS, Hock ES, de Witte L. Smartphone apps to support self-management of hypertension: review and content analysis. JMIR mHealth and uHealth. 2019;7(5):e13645. doi: 10.2196/13645
- Picone DS, Deshpande RA, Schultz MG, et al. Nonvalidated home blood pressure devices dominate the online marketplace in Australia. Hypertension. 2020;75(6):1593–1599. doi: 10.1161/HYPERTENSIONAHA.120.14719
- Jalali MS, Russell B, Razak S, et al. EARS to cyber incidents in health care. J Am Med Inform Assoc. 2019;26(1):81–90. doi: 10.1093/jamia/ocy148
- Vladzymyrskyy AV. Systematic review: the messengers «WhatsApp®» and «Viber®» in a clinical routine. Zhurnal telemeditsiny i elektronnogo zdravookhraneniya. 2017;(1):30–41. EDN: YPTUYR
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