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Pharmacist-physician collaboration improves blood pressure control
Abla M Albsoul-Younes1, Eman A Hammad, Nada A Yasein
1Department of Biopharmaceutics and Clinical Pharmacy, Faculty of Pharmacy, University of Jordan, Amman, Jordan. ablabsoul@yahoo.com
Insights
A physician-pharmacist team improved blood pressure (BP) control in hypertensive patients more effectively than physician-only management. This collaborative approach led to significant BP reductions, suggesting better cardiovascular outcomes.
Area of Science:
- Clinical Pharmacy
- Cardiology
- Public Health
Background:
- Uncontrolled hypertension poses a significant risk for cardiovascular diseases.
- Effective management strategies are crucial for achieving blood pressure (BP) goals.
Purpose of the Study:
- To evaluate the impact of a physician-pharmacist collaborative approach on managing uncontrolled hypertensive patients.
- To compare the effectiveness of team-based care versus physician-only management.
Main Methods:
- A randomized controlled trial involving 253 patients with uncontrolled hypertension.
- Patients were assigned to either a physician-pharmacist team (intervention) or physician-only (control) management group.
- Blood pressure control and reduction were monitored over the study period.
Main Results:
- The intervention group achieved significantly higher rates of BP goal attainment (79.4%) compared to the control group (65.6%).
- Greater reductions in systolic BP (16.1 vs 10.6 mm Hg) and diastolic BP (10.5 vs 7.17 mm Hg) were observed in the intervention group.
- Statistical significance was achieved for all primary outcome measures (p<0.05).
Conclusions:
- Physician-pharmacist collaboration significantly enhances BP control in patients with uncontrolled hypertension.
- This teamwork approach leads to more substantial BP reduction, potentially improving cardiovascular disease outcomes.
- Implementing pharmaceutical care in outpatient settings is feasible and beneficial for patient management.
Objective:
To evaluate the effect of teamwork (physician and pharmacist) on the management of uncontrolled hypertensive patients.
Methods:
This is a randomized controlled clinical trial conducted from March to November 2009. Patients attending the Family Medicine Clinic at Jordan University Hospital, Amman, Jordan with uncontrolled hypertension were invited to participate in the study. A total of 253 patients were randomly allocated to an intervention (n=130) or control group. In the intervention group, patients were managed by a physician-pharmacist team. In the control group, patients were managed by physician(s) only.
Results:
In the intervention group, 79.4% of patients achieved blood pressure (BP) goals specified by the Joint National Committee on Prevention and Management, Detection, Evaluation, and Treatment of High Blood Pressure (JNC VII) compared to 65.6% in the control group (p=0.01). Decline in systolic BP was 16.1 +/- 14.6 mm Hg in the intervention group, and 10.6 +/- 13.5 mm Hg in the control group (p=0.002). Reduction in diastolic BP was 10.5 +/- 12.9 mm Hg in the intervention group, and 7.17 +/- 13.11 mm Hg in the control group, (p=0.04). Data were presented as mean +/- standard deviation.
Conclusion:
This study found that the physician-pharmacist collaborative approach to uncontrolled hypertension in Jordan improved the rate of BP control in hypertensive patients, and resulted in more profound decline in both systolic and diastolic BP, and this will probably reflect on better outcomes in cardiovascular diseases. Establishing pharmaceutical care managed clinic in the setting of outpatient-clinics is possible, and provides better management of patients.
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