Evaluation of a Pharmacists’ Patient Care Process Approach for Hypertension
| Autor: | Erika Fulmer, Alexa M Ortiz, Sharada Shantharam, Mihaela Johnson, Cynthia Soloe, Jeffrey M. Durthaler, Hae Mi Choe, Benjamin Yarnoff, Julia Jordan, Kara MacLeod, Joanna Elmi, Mark Rivera, Nikki A. Hawkins |
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| Rok vydání: | 2022 |
| Předmět: |
Adult
Pharmacies medicine.medical_specialty Epidemiology business.industry education Public Health Environmental and Occupational Health MEDLINE Pharmacist Primary care Pharmacists Patient care Professional Role Blood pressure Hypertension Emergency medicine Propensity score matching medicine Humans Patient Care Patient participation business Healthcare providers health care economics and organizations |
| Zdroj: | American Journal of Preventive Medicine. 62:100-104 |
| ISSN: | 0749-3797 |
| DOI: | 10.1016/j.amepre.2021.06.012 |
| Popis: | Introduction An estimated 116 million American adults (47.3%) have hypertension. Most adults with hypertension do not have it controlled—3 in 4 (92.1 million) U.S. adults with hypertension have a blood pressure ≥130/80 mmHg. The Pharmacists’ Patient Care Process is a standardized patient-centered approach to the provision of pharmacist care that is done in collaboration with other healthcare providers. Through the Michigan Medicine Hypertension Pharmacists’ Program, pharmacists use the Pharmacists’ Patient Care Process to provide hypertension management services in collaboration with physicians in primary care and community pharmacy settings. In 2019, the impact of Michigan Medicine Hypertension Pharmacists’ Program patient participation on blood pressure control was evaluated. Methods Propensity scoring was used to match patients in the intervention group with patients in the comparison group and regression analyses were then conducted to compare the 2 groups on key patient outcomes. Negative binomial regression was used to examine the number of days with blood pressure under control. The findings presented in this brief are part of a larger multimethod evaluation. Results More patients in the intervention group than in the comparison group achieved blood pressure control at 3 months (66.3% vs 42.4%) and 6 months (69.1% vs 56.5%). The intervention group experienced more days with blood pressure under control within a 3-month (18.6 vs 9.5 days) and 6-month period (57.0 vs 37.4 days) than the comparison group did. Conclusions Findings support the effectiveness of the Michigan Medicine Hypertension Pharmacists’ Program approach to implementing the Pharmacists’ Patient Care Process to improve blood pressure control. |
| Databáze: | OpenAIRE |
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