ArticleAnnals of family medicine
Impact of Home Blood Pressure Data Visualization on Hypertension Medical Decision Making in Primary Care.
Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
9 citing papers in PubMed.
- Implementation outcomes from a randomized, controlled trial of a strategy to improve integration of behavioral health and primary care services.BMC health services research · 2024Trial
- Leveraging the Electronic Health Record to Identify and Manage Resistant Hypertension.Current hypertension reports · 2026Review
- Feasibility and acceptability of using ABPM to manage hypertension in primary care: a qualitative study.BMC primary care · 2026Article
- Developing a data visualization tool for adults with disorders of consciousness: Qualitative analysis of user perspectives.Learning health systems · 2025Article
- Using RE-AIM to inform the adaptation of a clinical decision support application for hypertension disorders of pregnancy: a qualitative study of provider perspectives.BMC pregnancy and childbirth · 2025Article
- Facilitators and Barriers to Integrating Patient-Generated Blood Pressure Data into Primary Care EHR Workflows.Applied clinical informatics · 2024Article
- Visualization of Patient-Generated Health Data: A Scoping Review of Dashboard Designs.Applied clinical informatics · 2023Article
- Big Things, Small Packages: An Update on Microalgae as Sustainable Sources of Nutraceutical Peptides for Promoting Cardiovascular Health.Global challenges (Hoboken, NJ) · 2023Review
- Uplifting Primary Care Through the Electronic Health Record.Annals of family medicineArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
purposeEvidence shows the value of home blood pressure (BP) monitoring in hypertension management. Questions exist about how to effectively incorporate these readings into BP follow-up visits. We developed and implemented a tool that combines clinical and home BP readings into an electronic health record (EHR)-integrated visualization tool. We examined how this tool was used during primary care visits and its effect on physician-patient communication and decision making about hypertension management, comparing it with home BP readings on paper.
methodsWe video recorded the hypertension follow-up visits of 73 patients with 15 primary care physicians between July 2018 and April 2019. During visits, physicians reviewed home BP readings with patients, either directly from paper or as entered into the EHR visualization tool. We used conversation analysis to analyze the recordings.
resultsHome BP readings were viewed on paper for 26 patients and in the visualization tool for 47 patients. Access to home BP readings during hypertension management visits, regardless of viewing mode, positioned the physician and patient to assess BP management and make decisions about treatment modification, if needed. Length of BP discussion with the visualization tool was similar to or shorter than that with paper. Advantages of the visualization tool included ease of use, and enhanced and faster sense making and decision making. Successful use of the tool required patients' ability to obtain their BP readings and enter them into the EHR via a portal, and an examination room configuration that allowed for screen sharing.
conclusionsReviewing home BP readings using a visualization tool is feasible and enhances sense making and patient engagement in decision making. Practices and their patients need appropriate infrastructure to realize these benefits.
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