Date of Award
Spring 5-2025
Document Type
Scholarly Project
Degree Name
Master of Physician Assistant Studies (MPAS)
Department
Physician Assistant Studies
First Advisor
Carr, Kristen
Keywords
Hypertension, telemedicine, telepharmacy, medication adherence, Blood Pressure monitoring, remote health care, and chronic disease management
Abstract
Hypertension affects over a billion adults worldwide and remains a major contributor to cardiovascular disease and mortality. Effective management requires consistent medication adherence and lifestyle changes, but barriers such as limited healthcare access often hinder follow-up. This literature review evaluates the efficacy of home blood pressure (BP) monitoring combined with telemedicine follow-up in improving medication adherence among adults with hypertension compared to traditional clinic-based follow-ups. A literature review was conducted, resulting in the inclusion of six studies that examined interventions such as telepharmacy, remote BP monitoring, bidirectional text support, and mobile health applications. Results demonstrated that telemedicine significantly enhances BP control, medication adherence, and lifestyle modifications, particularly through pharmacist-led and telepharmacy interventions. However, some studies found no notable differences between telemedicine and in-person care, emphasizing the need for intervention designs tailored to patient demographics and regional factors. Limitations include reliance on self-reported data and restricted generalizability. Findings support integrating telemedicine in primary care for hypertension management to enhance accessibility and optimize patient outcomes.
Recommended Citation
Hinkel, Kimberly, "Telemedicine vs. Clinic Monitoring: Adherence in Hypertension Management" (2025). Physician Assistant Scholarly Project Papers. 227.
https://commons.und.edu/pas-grad-papers/227