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 and Xin-Nong Li

A chapter in Current Trends in Community Health Models from IntechOpen

Abstract: 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'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/-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.

Keywords: chronic disease; remote patient monitoring; diabetes; digital health; care quality; hypertension; cardiovascular disease; artificial intelligence (search for similar items in EconPapers)
JEL-codes: I11 (search for similar items in EconPapers)
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Persistent link: https://EconPapers.repec.org/RePEc:ito:pchaps:309925

DOI: 10.5772/intechopen.115568

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