集中的外展与嵌入式药剂师电子咨询,以减少治疗惯性和改善血压控制
Sarah J Billups1, Ashley Daffron1, Christopher Harty2
1Department of Clinical Pharmacy, University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences, Aurora, CO, USA.
概括
人口健康干预有效地减少了治疗惯性,并在初级保健中改善了高血压控制. 这种方法确保了更多的患者在六个月内实现了目标血压 (BP) 目标.
科学领域:
- 心血管医学 心血管医学
- 主要护理是指初级护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 治疗惯性,即未能启动或调整药物以实现治疗目标,是有效高血压管理的重要障碍.
- 初级保健机构对于管理高血压等慢性疾病至关重要,但在及时调整治疗方面经常面临挑战.
研究的目的:
- 评估结构化的人口健康干预措施的影响,旨在克服治疗惯性.
- 为了改善高血压患者的血压 (BP) 控制,在多实践初级保健环境中.
主要方法:
- 一项回顾性队列研究比较了干预组和常规护理对照组之间的结果.
- 该干预涉及集中外展协调员识别患有高血压的患者,安排专注的访问,并促进药剂师在患者与医生接触之前的建议.
主要成果:
- 干预组显示,参加高血压专注诊所的比例 (57.3%对38.8%) 和接受高血压治疗的比例 (63.3%对44.2%) 显著更高.
- 与通常护理组相比,更大比例的干预患者在六个月内达到血压<140/90毫米 (27.9%vs16.9%).
结论:
- 一个基于临床的人口健康战略有效地减少了高血压管理中的治疗惯性.
- 这项干预表明,在初级保健环境中,高血压患者的血压控制显著改善.
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