The need for transformative innovation in hypertension management

• Published in: The American heart journal Vol. 162; no. 3; pp. 405 - 411
• Main Authors: Roark, Robin F., MD, MBA, Shah, Bimal R., MD, MBA, Udayakumar, Krishna, MD, MBA, Peterson, Eric D., MD, MPH
• Format: Journal Article
• Language: English
• Published: New York, NY Mosby, Inc 01.09.2011; Mosby; Elsevier Limited
• Subjects: Ambulatory care; Arterial hypertension. Arterial hypotension; Biological and medical sciences; Blood and lymphatic vessels; Blood pressure; Cardiology. Vascular system; Cardiovascular; Costs; Delivery of Health Care - organization & administration; Disease management; Efficiency; Failure; Health care access; Health care policy; Health Services Needs and Demand - trends; Heart attacks; Humans; Hypertension; Hypertension - therapy; Incentives; Intervention; Lifestyles; Medical sciences; Mortality; Patients; Physicians; United States; United States; Hypertension; Cardiovascular disease; Clinical management; Circulatory system; Cardiology
• ISSN: 0002-8703; 1097-6744
• DOI: 10.1016/j.ahj.2011.06.010

Despite multiple available effective therapies for hypertension, many patients with high blood pressure in the United States are not adequately controlled. This inability to effectively manage hypertension can be attributed to patient, provider, and system failures. To create an effective model for hypertension management, current care delivery systems must be reorganized around the following principles: improved patient engagement and patient-provider communication, increased use of nonphysician providers, better performance monitoring and feedback systems, and better aligned reimbursement models. Transformation of care around these principles would lead to marked improvements in cost, quality, and access to care.