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
Artigo
em Inglês
| IBECS
| ID: ibc-153719
Biblioteca responsável:
ES1.1
Localização: 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
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Texto completo:
Disponível
Coleções:
Bases de dados nacionais
/
Espanha
Base de dados:
IBECS
Assunto principal:
Farmácias
/
Assistência Farmacêutica
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Medicamentos para a Atenção Básica
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Adesão à Medicação
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Hipertensão
/
Relações Interprofissionais
Tipo de estudo:
Estudo de avaliação
Aspecto:
Preferência do paciente
Limite:
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Pharm. pract. (Granada, Internet)
Ano de publicação:
2016
Tipo de documento:
Artigo
Instituição/País de afiliação:
Hornsby Ku-ring-Gai Hospital/Australia
/
University of Newcastle/Australia
/
University of Sydney/Australia
/
University of Technology Sydney/Australia