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227 Use of digital tools in Swiss primary care settings: a study on patient and provider preferences for using an hypertension management platform
  1. Alessia Romer1,2,
  2. Katharina Tabea Jungo1,3,
  3. Joel Lehmann4,
  4. Jürgen Ehrensberger5,
  5. Alice Panchaud1,
  6. Sven Streit1
  1. 1Institute of Primary Health Care BIHAM, University of Bern, Bern, Switzerland
  2. 2Graduate School for Health Sciences, University of Bern, Bern, Switzerland
  3. 3Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women’s Hospital and Harvard Medical School, Boston, USA
  4. 4EQUAM Stiftung, Bern, Switzerland
  5. 5HEIG-VD/HES-SO, University of Applied Science of Western Switzerland, Yverdon-les-Bains, Switzerland

Abstract

Introduction More than 50% of Swiss adult patients with hypertension do not reach blood pressure targets.1 2 Team-based care can be an effective and safe alternative to clinic-based care for improving blood pressure control and patient-centered care for hypertension.3 As we move toward a more digitalized and connected healthcare system, patients are becoming empowered, with the ability to share self-generated data and participate in decision-making.4 The aim of this study is to explore patients’, pharmacists’, and general practitioners’ (GPs’) attitudes and preferences towards a digital platform that coordinates hypertension management within an interprofessional care model facilitating detailed exchange of information between these stakeholders.

Methods This exploratory cross-sectional study aims to include 215–250 Swiss adults ≥18 years old who are diagnosed with high blood pressure (self-report), pharmacists and GPs practicing in Swiss primary care settings. Online anonymous surveys are distributed in three national languages (German, French and Italian) to each participant group. Recruitment of healthcare professionals is facilitated by professional associations. Patients are mainly recruited through healthcare providers. The surveys contain questions about information sources and currently used tools for hypertension management. Additionally, they explore potential functionalities for a digital interprofessional platform dedicated to hypertension management. The data will be analyzed using descriptive statistics.

Results Recruitment for the study is ongoing. Results to be presented at the conference include a comparative analysis of attitudes and preferences towards an interprofessional digital platform for the management of hypertension among hypertensive patients, pharmacists, and GPs.

Conclusion(s) This study is the first step to ensure that design and features of a digital hypertension management platform align closely with the preferences, needs, and experiences of stakeholders involved in hypertension management in Swiss primary care settings. The results will highlight features to prioritize for an increased patient involvement and interprofessional collaboration in hypertension management.

References

  1. Giezendanner S, et al, Effect of guideline revisions by the swiss society of hypertension on blood pressure control in hypertensive patients from primary care. Swiss Med Wkly, 2020;150:20279.

  2. Damianaki A, et al. High blood pressure screening in pharmacies during may measurement month campaigns in switzerland. Blood Press, 2022;31(1):129–138.

  3. Margolis KL, et al. Comparing pharmacist-led telehealth care and clinic-based care for uncontrolled high blood pressure: the hyperlink 3 pragmatic cluster-randomized trial. Hypertension, 2022;79(12):2708–2720.

  4. El-Osta A, C Rowe, A Majeed. Developing a shared definition of self-driven healthcare to enhance the current healthcare delivery paradigm. Journal of the Royal Society of Medicine, 2022;115(11):424–428.

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