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Open Access Commentary

Beyond inpatient and outpatient care: alternative model for hypertension management

P Michael Ho* and John S Rumsfeld

Author Affiliations

Cardiology Section, Denver VA Medical Center, 1055 Clermont Street (111B), Denver, Colorado 80220, USA

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BMC Public Health 2006, 6:257  doi:10.1186/1471-2458-6-257

Published: 19 October 2006


Hypertension is a major contributor to worldwide cardiovascular mortality, however, only one-third of patients with hypertension have their blood pressure treated to guideline recommended levels. To improve hypertension control, there may need to be a fundamental shift in care delivery, one that is population-based and simultaneously addresses patient, provider and system barriers. One potential approach is home-based disease management, based on the triad of home monitoring, team care, and patient self-care. Although there may be challenges to achieving the vision of home-based disease management, there are tremendous potential benefits of such an approach for reducing the global burden of cardiovascular disease.