{
  "abstract": "Purpose of review\n\nRemote patient monitoring (RPM) for hypertension combines home blood pressure (BP) monitoring with electronic transmission of BP readings and clinical support. RPM has the potential to improve BP control and reduce hypertension disparities, but because it depends on devices, connectivity, digital literacy, and sustained engagement, it may also worsen inequities if not intentionally designed. This review examines barriers to equitable RPM implementation and strategies to address them.Recent findings\n\nRPM can improve hypertension control and extend care beyond traditional clinical settings, but its effect on health equity depends on program design. Equity should be treated as a core design principle. Future research should evaluate differential reach, engagement, effectiveness, and sustainability across populations and identify payment models that support equitable implementation at scale. Barriers to equitable RPM implementation occur at patient, clinician, health system, and policy levels. Key challenges include limited access to technology, language barriers, out-of-pocket costs, inadequate cuff sizing, unmet social needs, clinician workload, referral bias, infrastructure limitations, reimbursement variability, and the digital divide. Emerging evidence suggests that equity-focused strategies can improve reach and engagement, including provision of cellular-enabled devices, reduced patient costs, culturally and linguistically tailored support, team-based care, registry-based outreach, and routine monitoring of enrollment and outcomes across demographic groups. High-resource, low-resource, and hybrid RPM models each offer distinct advantages and tradeoffs in balancing scalability, sustainability, and equity.",
  "abstract_shown": true,
  "affiliations": [
    "Center for Behavioral Cardiovascular Health, Columbia University Irving Medical Center, New York, NY, USA.",
    "Division of General Internal Medicine, Mount Sinai, New York, NY, USA.",
    "Johns Hopkins School of Nursing, Baltimore, MD, USA.",
    "Department of Family Medicine, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.",
    "Northwell Health, Hyde Park, NY, USA.",
    "HealthPartners Institute, Bloomington, MN, USA.",
    "Department of Medicine, Montefiore Einstein and Albert Einstein College of Medicine, Bronx, NY, USA.",
    "Department of Industrial Engineering and Operations Research, Columbia Engineering, Columbia University, New York, NY, USA.",
    "Division of General Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA. jlcluett@bidmc.harvard.edu."
  ],
  "article_type": "review article",
  "arxiv": null,
  "author_total": 9,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Ian M Kronish"
    },
    {
      "affs": [
        1
      ],
      "name": "Kelsey B Bryant"
    },
    {
      "affs": [
        2
      ],
      "name": "Yvonne Commodore-Mensah"
    },
    {
      "affs": [
        3
      ],
      "name": "Jacqueline R Halladay"
    },
    {
      "affs": [
        4
      ],
      "name": "Eun Ji Kim"
    },
    {
      "affs": [
        5
      ],
      "name": "Karen L Margolis"
    },
    {
      "affs": [
        6
      ],
      "name": "Sharon Rikin"
    },
    {
      "affs": [
        7
      ],
      "name": "Harry West"
    },
    {
      "affs": [
        8
      ],
      "name": "Jennifer L Cluett",
      "orcid": "0000-0002-5744-1099"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/86mq2fkzk00zk.bib",
  "cited_by": 0,
  "doi": "10.1007/s11906-026-01393-4",
  "fulltext_url": "https://europepmc.org/articles/PMC13690859",
  "id": "86mq2fkzk00zk",
  "issns": [
    "1522-6417",
    "1534-3111"
  ],
  "landing_url": "https://europepmc.org/article/MED/42911359",
  "language": "eng",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2739|Telemedicine and Telehealth Implementation"
    ]
  ],
  "openalex": "W7223169527",
  "pdf_url": "https://europepmc.org/articles/PMC13690859?pdf=render",
  "pmcid": "PMC13690859",
  "pmid": "42911359",
  "published": "2026-10-22",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/86mq2fkzk00zk.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:10Z",
      "native_id": "MED:42911359",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42911359"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2739|Telemedicine and Telehealth Implementation",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Integrating Scalability and Equity into Hypertension Remote Patient Monitoring Program Design.",
  "title_text": "Integrating Scalability and Equity into Hypertension Remote Patient Monitoring Program Design.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:20:10Z",
  "url": "https://research.draconitic.com/paper/86mq2fkzk00zk",
  "venue": "Current hypertension reports",
  "versions": []
}