作者
Lauren A Eberly, Ada Tennison, Daniel Mays, Chih-Yuan Hsu, Chih-Ting Yang, Ernest Benally, Harriett Beyuka, Benjamin Feliciano, C Jane Norman, Maria Ynes Brueckner, Clybert Bowannie, Daniel R Schwartz, Erica Lindsey, Stephen Friedman, Elizabeth Ketner, Pamela Detsoi-Smiley, Yu Shyr, Sonya Shin, Maricruz Merino
发表日期
2024/6/1
期刊
JAMA Internal Medicine
卷号
184
期号
6
页码范围
681-690
出版商
American Medical Association
简介
Importance
Underutilization of guideline-directed medical therapy for heart failure with reduced ejection fraction is a major cause of poor outcomes. For many American Indian patients receiving care through the Indian Health Service, access to care, especially cardiology care, is limited, contributing to poor uptake of recommended therapy.
Objective
To examine whether a telehealth model in which guideline-directed medical therapy is initiated and titrated over the phone with remote telemonitoring using a home blood pressure cuff improves guideline-directed medical therapy use (eg, drug classes and dosage) in patients with heart failure with reduced ejection fraction in Navajo Nation.
Design, Setting, and Participants
The Heart Failure Optimization at Home to Improve Outcomes (Hózhó) randomized clinical trial was a stepped-wedge, pragmatic comparative effectiveness trial conducted from February to August 2023 …
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