Table 1 All the interventions for the 2 groups
Intervention category | Execution method in the control group | Execution method in the intervention group |
|---|---|---|
Diagnosis | By physicians (before the trial) | By physicians (before the trial) |
Risk assessment | No execution | Conducted by GPs with the assistance of the system; reassessed based on self-monitoring data per week |
Hierarchical management | Executed by the system based on patients’ BP values; only adjusted after regular follow-up; no management plans for patients | Executed by the system based on patients’ risk level per week; provide executable management plans to patients |
Regular follow-up | Performed by GPs once every 3 months for level 1 patients and once every 2–4 weeks for level 2 patients; no dynamic adjustment | Performed by GPs once every 3 months for level 1 patients and once every 2 weeks for level 2 patients; dynamically adjusted based on patients’ management level |
Abnormal condition intervention | No execution | Conducted by GPs; abnormal condition is informed by the system |
Compliance management | No execution | Conducted by CMs; compliance is calculated by the system per week |
Medication guidance | Provided by GPs during regular follow-up | Provided by physicians or GPs through the system anytime |
Lifestyle guidance | Provided by GPs during regular follow-up | Provided by physicians or GPs through the system anytime |
Health education | Provided by GPs during regular follow-up | Conducted by CMs through the system, mainly in the form of online materials |