Effectiveness of a hypertension care management program provided by clinical pharmacists for veterans
| Autor: | Amy S. Boldt, Alan J. Zillich, Sarah B Needham, Darin C. Ramsey, Stacy M Bolf, Susan D. Bex, Andrew N. Schmelz, Cassandra M. Walston |
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| Rok vydání: | 2010 |
| Předmět: |
Male
medicine.medical_specialty Pharmacist Community Pharmacy Services Comorbidity Pharmacists Patient Education as Topic medicine Diabetes Mellitus Humans Pharmacology (medical) Disease management (health) Veterans Affairs Antihypertensive Agents Veterans business.industry Medical record Managed Care Programs Blood Pressure Determination medicine.disease Clinical pharmacy Blood pressure Treatment Outcome Emergency medicine Hypertension Physical therapy Kidney Failure Chronic Female business Pharmacy Service Hospital Kidney disease Patient education |
| Zdroj: | Pharmacotherapy. 31(1) |
| ISSN: | 1875-9114 |
| Popis: | Study Objective. To evaluate the effectiveness of a hypertension care management program provided by clinical pharmacists. Design. Pre- and postintervention design with retrospective medical record review. Setting. Tertiary care Veterans Affairs medical center and affiliated primary care clinics. Patients. Five hundred seventy-three veterans with hypertension who were referred to the program between June 1, 2007, and May 31, 2008. Intervention. Participation in the hypertension care management program provided by clinical pharmacists who met individually with patients, orchestrated drug therapy, and provided patient counseling. Measurements and Main Results. The following data were collected from patients' medical records: demographics, date of program referral, dates of pharmacist visits, blood pressure at each visit, concurrent antihypertensive drugs and their dosages, drug changesat each visit, as wellas patient education topics discussed during a visit. To ensure a minimum of 6 months of follow-up data for all patients, data collection continued through November 30, 2008, for a total study duration of 18 months. The primary study outcome was the difference between systolic and diastolic blood pressure measurements at the final pharmacist care management visit and those measurements at the initial pharmacist visit. Systolic blood pressure decreased from a mean ± SD of 141.3 ± 18.5 mm Hg at the initial pharmacist visit to 130.1 ± 13.8 mm Hg at the final pharmacist visit, and diastolic blood pressure decreased from 79.1 ± 12.2 to 74.5 ± 10.3 mm Hg (p |
| Databáze: | OpenAIRE |
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