The modeling as a technique of evaluation of expediency of remote monitoring of arterial tension at the regional level

Abstract

The state research center of preventive medicine, Moscow, 101990, Russian Federation The arterial hypertension is a leading risk factor of cardio-vascular morbidity and mortality of population in the Russian Federation. The application of modern informational technologies at population level can be on of modes of improvement of arterial hypertension control. The purpose of study. To apply modeling technique for evaluating at the regional level the economic expediency of implementation of remote monitoring of arterial pressure using GPS-tonometer. Materials and methods. The mathematical model of social economic efficiency of remote monitoring of arterial pressure was developed to be applied in the region with 1 million ofpopulation given 90, 70,50 and 30% of monitoring coverage with calculation of number of prevented cases of myocardium infarction, stroke, deaths and averted economic loss during five years. Results. The remote monitoring of arterial hypertension in the region with 1 million ofpopulation would permit preventing 1940 deaths during five years under 90% coverage with remote monitoring of patients with arterial hypertension and at 30% coverage 645 lives would be saved. The mass implementation of remote monitoring permits decreasing load on health care system at the expense of prevention of myocardium infarction (95 cases at 90% coverage during five years), stroke (630 at 90% coverage during five years) and calls of emergency medical care. The remote monitoring is economically expedient since expenses of its implementation are lesser than expected economic effect t the expense of decreasing of visits for medical care and maintenance of manpower resources in economics. Conclusion. The remote monitoring of arterial pressure using various information technologies is a modern and efficient approach to amelioration of arterial hypertension control at the regional level.