Implementation and evaluation of a pharmacist-led hypertension management service in primary care: outcomes and methodological challenges
Pharm. pract. (Granada, Internet)
; 14(2): 0-0, abr.-jun. 2016. ilus, tab
Article
in English
| IBECS
| ID: ibc-153719
Responsible library:
ES1.1
Localization: BNCS
ABSTRACT
Background:
Suboptimal utilisation of pharmacotherapy, non-adherence to prescribed treatment, and a lack of monitoring all contribute to poor blood (BP) pressure control in patients with hypertension.Objective:
The objective of this study was to evaluate the implementation of a pharmacist-led hypertension management service in terms of processes, outcomes, and methodological challenges.Method:
A prospective, controlled study was undertaken within the Australian primary care setting. Community pharmacists were recruited to one of three study groups Group A (Control - usual care), Group B (Intervention), or Group C (Short Intervention). Pharmacists in Groups B and C delivered a service comprising screening and monitoring of BP, as well as addressing poor BP control through therapeutic adjustment and adherence strategies. Pharmacists in Group C delivered the shortened version of the service.Results:
Significant changes to key outcome measures were observed in Group C reduction in systolic and diastolic BPs at the 3-month visit (P<0.01 and P<0.01, respectively), improvement in medication adherence scores (P=0.01), and a slight improvement in quality of life (EQ-5D-3L Index) scores (P=0.91). There were no significant changes in Group B (the full intervention), and no differences in comparison to Group A (usual care). Pharmacists fed-back that patient recruitment was a key barrier to service implementation, highlighting the methodological implications of screening.Conclusion:
A collaborative, pharmacist-led hypertension management service can help monitor BP, improve medication adherence, and optimise therapy in a step-wise approach. However, blood pressure screening can effect behaviour change in patients, presenting methodological challenges in the evaluation of services in this context (AU)RESUMEN
No disponible
Full text:
Available
Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Pharmacies
/
Pharmaceutical Services
/
Drugs for Primary Health Care
/
Medication Adherence
/
Hypertension
/
Interprofessional Relations
Type of study:
Evaluation study
Aspects:
Patient-preference
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
Pharm. pract. (Granada, Internet)
Year:
2016
Document type:
Article
Institution/Affiliation country:
Hornsby Ku-ring-Gai Hospital/Australia
/
University of Newcastle/Australia
/
University of Sydney/Australia
/
University of Technology Sydney/Australia