Nominees for the digital innovation award have found new ways to simplify and improve patient care, says Matthew Limb
High blood pressure is the biggest remedial cause of stroke or myocardial infarction. Around 12 million attendances at general practitioner surgeries each year are for blood pressure checks.
Checks done at home by patients are more accurate than those done in the surgery, but self monitoring alone does not save GP or nurse time as patients like the reassurance that doctors have reviewed the results.
“Telemonitoring, where people measure and send BPs [blood pressures] to their clinician, has been shown to reduce blood pressure significantly,” says Brian Mckinstry, professor (emeritus) of primary care eHealth at the University of Edinburgh.
“But GPs/nurses have not adopted it as it usually involved complex log-ons to third party websites and was not integrated with normal practice routines.”
Scale-Up BP automatically extracts and summarises tabular and graphical data from third party telemonitoring sites, indicating clearly if blood pressure is controlled, and sends it as a PDF to Docman, the GP’s normal data handling system to be viewed alongside laboratory results and letters.
“Patients love it as they do not have to attend surgeries and feel involved in their management. GPs like the simplicity of the system,” says Mckinstry.
Around 4000 patients and 70 practices in Lothian are using the system, which has now been adopted across Scotland. Blood pressure has fallen significantly (6.6 mmHg) in those who use it compared with non-users, and face-to-face appointments have fallen by 20%.
Failure to inform patients before consent to treatment is unfair on patients and can cost trusts millions of …

中文翻译：

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2020年BMJ奖：数字创新

Matthew Limb说，数字创新奖的提名人找到了简化和改善患者护理的新方法，
高血压是中风或心肌梗塞的最大补救原因。每年约有1200万全科医生进行血压检查。
患者在家中进行的检查比手术中进行的检查更为准确，但是仅凭自我监测并不能节省GP或护士的时间，因为患者希望医生可以保证对结果的审查。
爱丁堡大学初级保健eHealth教授（名誉教授）Brian Mckinstry说：“远程监测可以使人们测量血压并将血压[血压]发送给临床医生，”他说。
“但是，全科医生/护士没有采用它，因为它通常涉及到第三方网站的复杂登录，并且没有与常规的惯例相结合。”
Scale-Up BP会自动从第三方远程监控站点提取并汇总表格和图形数据，清楚地表明血压是否受到控制，并将其以PDF格式发送给Docman，这是GP的常规数据处理系统，可与实验室结果和字母一起查看。
“患者之所以喜欢它，是因为他们不必参加手术，也无需参与管理。全科医生喜欢系统的简单性。” Mckinstry说。
Lothian大约有4000名患者和70种做法正在使用该系统，该系统现已在苏格兰得到采用。与不使用血压的人相比，使用血压的人血压明显下降了（6.6 mmHg），面对面的约会减少了20％。
未能在患者同意治疗之前通知患者对患者不公平，并可能使数百万信任的人付出代价……