| Autor: |
Rachel N Lowe, Nicole Kovac, Ingrid Lobo, Sarah J Billups |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists. |
| ISSN: |
1535-2900 |
| Popis: |
Purpose To assess the impact of a one-time hypertension (HTN)–focused clinical pharmacist intervention on the occurrence of clinical inertia and change in blood pressure (BP). Methods This retrospective study included patients 18 to 89 years of age with a current diagnosis of HTN and average systolic BP of ≥150 mm Hg. Centralized outreach coordinators performed telephone outreach to patients to schedule an HTN-focused visit with their primary care provider (PCP) and forwarded outreach notes for half of these patients to clinical pharmacists embedded in an internal medicine clinic. The clinical pharmacists performed a one-time focused medication review and provided evidence-based recommendations to a patient’s PCP prior to the scheduled appointment. The primary outcome was therapy intensification (medication adjustment or adherence discussion) as a measure of overcoming clinical inertia. Secondary outcomes were the mean changes in systolic and diastolic BP from preintervention values to 6-month follow-up in the intervention group versus the control group. Results A total of 91 patients were included, and 34 of 47 intervention patients (72%) had therapy intensification at the HTN-focused PCP appointment, compared to 20 of 44 control patients (46%) (P =0.017). The mean (SD) systolic BP reductions from baseline were 12.26 (29.04) mm Hg and 6.97 (27.05) mm Hg for the intervention and control groups, respectively (P =0.427), with diastolic BP reductions of 3.83 (13.14) mm Hg and 1.35 (10.60) mm Hg, respectively (P =0.380). Conclusion A collaborative model involving centralized outreach coordinators and embedded clinical pharmacists led to a significant reduction in clinical inertia. This was a small-scale pilot study, and further research is needed to determine the effect of this intervention on BP reduction. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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