Implementing a Remote Blood Pressure Monitoring Program at Rural Resident Primary Care Clinic

Introduction: We evaluated feasibility of implementing remote blood pressure (BP) monitoring (RBPM) program in rural resident primary care clinic. Methods: This is Internal Medicine resident physicians-led single arm RBPM study among Medicare populations with hypertension in rural United States. Resident physicians provided a comprehensive self-management support (SS) and home BP guided pharmacotherapy over 6 months in collaboration with a third-party vendor. Our primary outcomes were changes between the first and the last 2 weeks of BP and its control ( Results: Seventy-two patients provided 6 months of HBPM; 75% were White patients, 61.1% female and 81.9% from rural areas. They provided a mean (SD) of 7.3 (0.5) HBPM readings/week/patient that was stable over the study period. Mean (SD) BP difference and BP control were 11.4 (11.7)/3.4 (6.5) mmHg and 37.5% (all P Conclusions: Resident-led RBPM program is feasible and associated with significant BP reduction. Future studies should consider program evaluation to inform context-driven implementation.