Is the home health care monitoring effective?

The monitoring blood pressure at home is an important part of managing hypertension. We have developed a home healthcare system to monitor blood pressure. Our system has operated for about 1 year. In this study, we focused on blood pressure monitoring and discussed the motivation of subjects, and the importance of monitoring. We tested two different locations: one was a non-interventional location in Sapporo, the other was an interventional location in Osaka. Sixty-one out of 144 and 34 out of 61 subjects performed more than 100 measurements per year in Sapporo and Osaka, respectively. The results showed that the data obtained from subjects who monitored more than 100 times, twice a day, during the year are reproducible and reliable. Home blood pressure monitoring may be a good predictor of cerebrovascular and cardiovascular disease. However, the successful monitoring depended on the motivation and improvement of health condition of subjects.