A Unified Care Delivery Model: Integration of Remote Patient Monitoring and Ambulatory Care for Diabetes and Hypertension Management in the U.S.

<p id="p2">The prevalence of diabetes mellitus (DM) and hypertension (HTN) continues to rise in the U.S. with an aging population, suboptimal diet, and insufficient physical activity. Critical components of effective management, such as continuous home monitoring of blood pressure (BP) and blood glu...

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Autores principales: Wang, Li, Weng, Katrina, Wang, Chilsea, Zheng, Dawei, Li, Xin-Nong
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Lenguaje:inglés
Publicado: IntechOpen 2024
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Acceso en línea:https://www.intechopen.com/chapters/89757
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author Wang, Li
Weng, Katrina
Wang, Chilsea
Zheng, Dawei
Li, Xin-Nong
author_browse Li, Xin-Nong
Wang, Chilsea
Wang, Li
Weng, Katrina
Zheng, Dawei
author_facet Wang, Li
Weng, Katrina
Wang, Chilsea
Zheng, Dawei
Li, Xin-Nong
author_sort Wang, Li
building IntechOpen
collection Acceso abierto
description <p id="p2">The prevalence of diabetes mellitus (DM) and hypertension (HTN) continues to rise in the U.S. with an aging population, suboptimal diet, and insufficient physical activity. Critical components of effective management, such as continuous home monitoring of blood pressure (BP) and blood glucose (BG), timely data sharing for clinical decision support, lifestyle improvement, and medication adherence, are often inadequate between routine primary care physician (PCP) or endocrinologist follow-up visits. Patients with uncontrolled DM and HTN continue to experience preventable complications and increased spending costs for the healthcare system. This chapter summarizes the adoption of remote patient monitoring (RPM) in U.S. primary care, and spotlights original research data from an innovative Unified Care program that integrates RPM with an onsite clinical team in the doctor&rsquo;s office and an online, app-based monitoring and health coaching service: a seamless healthcare experience. The program has demonstrated an average reduction of 11.9 mmHg/&minus;6.3 mmHg over 12 months among Stage II Hypertension patients, and an average glycosylated hemoglobin (HbA1c) reduction of 1.4% over 6 months in patients with uncontrolled baseline HbA1c. These results show the potential of a unified care model beyond RPM for managing large population with chronic diseases more effectively.</p>
doi_str_mv 10.5772/intechopen.115568
first_indexed 2026-10-15T21:40:30Z
format Book Chapter
fullrecord <oai_dc:dc xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"><identifier>intech-89757</identifier><datestamp>2024-12-18</datestamp> <dc:title>A Unified Care Delivery Model: Integration of Remote Patient Monitoring and Ambulatory Care for Diabetes and Hypertension Management in the U.S.</dc:title> <dc:creator>Li Wang</dc:creator> <dc:creator>Katrina Weng</dc:creator> <dc:creator>Chilsea Wang</dc:creator> <dc:creator>Dawei Zheng</dc:creator> <dc:creator>Xin-Nong Li</dc:creator> <dc:subject>Health Sciences</dc:subject> <dc:description>&lt;p id="p2"&gt;The prevalence of diabetes mellitus (DM) and hypertension (HTN) continues to rise in the U.S. with an aging population, suboptimal diet, and insufficient physical activity. Critical components of effective management, such as continuous home monitoring of blood pressure (BP) and blood glucose (BG), timely data sharing for clinical decision support, lifestyle improvement, and medication adherence, are often inadequate between routine primary care physician (PCP) or endocrinologist follow-up visits. Patients with uncontrolled DM and HTN continue to experience preventable complications and increased spending costs for the healthcare system. This chapter summarizes the adoption of remote patient monitoring (RPM) in U.S. primary care, and spotlights original research data from an innovative Unified Care program that integrates RPM with an onsite clinical team in the doctor&amp;rsquo;s office and an online, app-based monitoring and health coaching service: a seamless healthcare experience. The program has demonstrated an average reduction of 11.9 mmHg/&amp;minus;6.3 mmHg over 12 months among Stage II Hypertension patients, and an average glycosylated hemoglobin (HbA1c) reduction of 1.4% over 6 months in patients with uncontrolled baseline HbA1c. These results show the potential of a unified care model beyond RPM for managing large population with chronic diseases more effectively.&lt;/p&gt;</dc:description> <dc:publisher>IntechOpen</dc:publisher> <dc:date>2024-12-18</dc:date> <dc:type>Chapter, Part Of Book</dc:type> <dc:identifier>https://www.intechopen.com/chapters/89757</dc:identifier> <dc:identifier>doi:10.5772/intechopen.115568</dc:identifier> <dc:language>en</dc:language> <dc:relation>ISBN:978-0-85014-327-0</dc:relation> <dc:rights>https://creativecommons.org/licenses/by/3.0/</dc:rights> <dc:source>https://www.intechopen.com/books/13339 ; Current Trends in Community Health Models</dc:source> </oai_dc:dc>
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spelling intech-897572024-12-18 A Unified Care Delivery Model: Integration of Remote Patient Monitoring and Ambulatory Care for Diabetes and Hypertension Management in the U.S. Li Wang Katrina Weng Chilsea Wang Dawei Zheng Xin-Nong Li Health Sciences <p id="p2">The prevalence of diabetes mellitus (DM) and hypertension (HTN) continues to rise in the U.S. with an aging population, suboptimal diet, and insufficient physical activity. Critical components of effective management, such as continuous home monitoring of blood pressure (BP) and blood glucose (BG), timely data sharing for clinical decision support, lifestyle improvement, and medication adherence, are often inadequate between routine primary care physician (PCP) or endocrinologist follow-up visits. Patients with uncontrolled DM and HTN continue to experience preventable complications and increased spending costs for the healthcare system. This chapter summarizes the adoption of remote patient monitoring (RPM) in U.S. primary care, and spotlights original research data from an innovative Unified Care program that integrates RPM with an onsite clinical team in the doctor&rsquo;s office and an online, app-based monitoring and health coaching service: a seamless healthcare experience. The program has demonstrated an average reduction of 11.9 mmHg/&minus;6.3 mmHg over 12 months among Stage II Hypertension patients, and an average glycosylated hemoglobin (HbA1c) reduction of 1.4% over 6 months in patients with uncontrolled baseline HbA1c. These results show the potential of a unified care model beyond RPM for managing large population with chronic diseases more effectively.</p> IntechOpen 2024-12-18 Chapter, Part Of Book https://www.intechopen.com/chapters/89757 doi:10.5772/intechopen.115568 en ISBN:978-0-85014-327-0 https://creativecommons.org/licenses/by/3.0/ https://www.intechopen.com/books/13339 ; Current Trends in Community Health Models
spellingShingle Health Sciences
Wang, Li
Weng, Katrina
Wang, Chilsea
Zheng, Dawei
Li, Xin-Nong
A Unified Care Delivery Model: Integration of Remote Patient Monitoring and Ambulatory Care for Diabetes and Hypertension Management in the U.S.
title A Unified Care Delivery Model: Integration of Remote Patient Monitoring and Ambulatory Care for Diabetes and Hypertension Management in the U.S.
title_full A Unified Care Delivery Model: Integration of Remote Patient Monitoring and Ambulatory Care for Diabetes and Hypertension Management in the U.S.
title_fullStr A Unified Care Delivery Model: Integration of Remote Patient Monitoring and Ambulatory Care for Diabetes and Hypertension Management in the U.S.
title_full_unstemmed A Unified Care Delivery Model: Integration of Remote Patient Monitoring and Ambulatory Care for Diabetes and Hypertension Management in the U.S.
title_short A Unified Care Delivery Model: Integration of Remote Patient Monitoring and Ambulatory Care for Diabetes and Hypertension Management in the U.S.
title_sort unified care delivery model integration of remote patient monitoring and ambulatory care for diabetes and hypertension management in the u s
topic Health Sciences
url https://www.intechopen.com/chapters/89757
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