Dynamic triage in hypertension: a quantitative framework for follow-up scheduling based on clinician heuristics and home blood pressure data - Scorecard - MDSpire

Adaptive Triage in Hypertension Management: A Quantitative Approach for Follow-Up Scheduling Utilizing Clinician Insights and Home Blood Pressure Measurements

  • By

  • Jair Andrade

  • Derek T. O'Keeffe

  • Ian McCabe

  • Jennifer Doran

  • David Tiernan

  • Andrew J. Simpkin

  • July 21, 2026

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Clinical Scorecard: Adaptive Triage in Hypertension Management: A Quantitative Approach for Follow-Up Scheduling Utilizing Clinician Insights and Home Blood Pressure Measurements

At a Glance

CategoryDetail
ConditionHypertension
Key MechanismsClinical inertia and home blood pressure monitoring influence follow-up scheduling.
Target PopulationNewly diagnosed hypertensive patients.
Care SettingOutpatient care with mobile health tools.

Key Highlights

  • Hypertension affects about a third of the global population.
  • Clinical inertia contributes to poor hypertension control despite available treatments.
  • Home BP monitoring can inform follow-up scheduling decisions.
  • Physicians' follow-up preferences vary based on recent BP readings.
  • The study provides a foundation for developing mHealth scheduling tools.

Guideline-Based Recommendations

Diagnosis

  • Systolic BP greater than 135 mmHg indicates hypertension.

Management

  • Intensified pharmacotherapy is supported for BP control.

Monitoring & Follow-up

  • Maximum follow-up window of two months for newly diagnosed patients.

Risks

  • Clinical inertia and organizational failures can hinder effective treatment.

Patient & Prescribing Data

Newly diagnosed hypertensive patients receiving antihypertensive medication.

Home BP measurements are critical for follow-up scheduling.

Clinical Best Practices

  • Utilize home BP monitoring to guide follow-up appointments.
  • Consider individual clinician preferences in scheduling follow-ups.
  • Aim to reduce clinical inertia by increasing follow-up frequency.

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