A cluster-randomized effectiveness trial of a physician-pharmacist collaborative model to improve blood pressure control
- PMID: 20647575
- PMCID: PMC2931811
- DOI: 10.1161/CIRCOUTCOMES.109.908038
A cluster-randomized effectiveness trial of a physician-pharmacist collaborative model to improve blood pressure control
Abstract
Numerous studies have demonstrated the value of team-based care to improve blood pressure (BP) control, but there is limited information on whether these models would be adopted in diverse populations. The purpose of this study was to evaluate whether a collaborative model between physicians and pharmacists can improve BP control in multiple primary care medical offices with diverse geographic and patient characteristics and whether long-term BP control can be sustained. This study is a randomized prospective trial in 27 primary care offices first stratified by the percentage of underrepresented minorities and the level of clinical pharmacy services within the office. Each office is then randomized to either a 9- or 24-month intervention or a control group. Patients will be enrolled in this study until 2012. The results of this study should provide information on whether this model can be implemented in large numbers of diverse offices, if it is effective in diverse populations, and whether BP control can be sustained long term.
Clinical trial registration: URL: http://www.clinicaltrials.gov. Unique identifier: NCT00935077.
Conflict of interest statement
Similar articles
-
Evaluation of Pharmacists' Work in a Physician-Pharmacist Collaborative Model for the Management of Hypertension.Pharmacotherapy. 2016 Apr;36(4):374-84. doi: 10.1002/phar.1727. Epub 2016 Mar 18. Pharmacotherapy. 2016. PMID: 26893135 Free PMC article. Clinical Trial.
-
Cluster-randomized trial of a physician/pharmacist collaborative model to improve blood pressure control.Circ Cardiovasc Qual Outcomes. 2015 May;8(3):235-43. doi: 10.1161/CIRCOUTCOMES.114.001283. Epub 2015 Mar 24. Circ Cardiovasc Qual Outcomes. 2015. PMID: 25805647 Free PMC article. Clinical Trial.
-
Cluster-Randomized Trial to Evaluate a Centralized Clinical Pharmacy Service in Private Family Medicine Offices.Circ Cardiovasc Qual Outcomes. 2018 Jun;11(6):e004188. doi: 10.1161/CIRCOUTCOMES.117.004188. Circ Cardiovasc Qual Outcomes. 2018. PMID: 29884657 Free PMC article. Clinical Trial.
-
Folic acid supplementation and malaria susceptibility and severity among people taking antifolate antimalarial drugs in endemic areas.Cochrane Database Syst Rev. 2022 Feb 1;2(2022):CD014217. doi: 10.1002/14651858.CD014217. Cochrane Database Syst Rev. 2022. PMID: 36321557 Free PMC article.
-
Primary Care Physician-Pharmacist Collaborative Care Model: Strategies for Implementation.Pharmacotherapy. 2016 Apr;36(4):363-73. doi: 10.1002/phar.1732. Epub 2016 Apr 6. Pharmacotherapy. 2016. PMID: 26931738 Review.
Cited by
-
Pharmacist intervention for blood pressure control: medication intensification and adherence.J Am Soc Hypertens. 2015 Jul;9(7):569-78. doi: 10.1016/j.jash.2015.05.005. Epub 2015 May 15. J Am Soc Hypertens. 2015. PMID: 26077795 Free PMC article. Clinical Trial.
-
Medication therapy management clinic: perception of healthcare professionals in a University medical center setting.Pharm Pract (Granada). 2013 Jul;11(3):173-7. doi: 10.4321/s1886-36552013000300008. Epub 2013 Sep 20. Pharm Pract (Granada). 2013. PMID: 24223083 Free PMC article.
-
Evaluation of Pharmacists' Work in a Physician-Pharmacist Collaborative Model for the Management of Hypertension.Pharmacotherapy. 2016 Apr;36(4):374-84. doi: 10.1002/phar.1727. Epub 2016 Mar 18. Pharmacotherapy. 2016. PMID: 26893135 Free PMC article. Clinical Trial.
-
Cluster randomized trials for pharmacy practice research.Int J Clin Pharm. 2016 Jun;38(3):607-14. doi: 10.1007/s11096-015-0205-1. Epub 2015 Dec 29. Int J Clin Pharm. 2016. PMID: 26715549 Review.
-
Avoiding Pitfalls With Implementation of Randomized Controlled Multicenter Trials: Strategies to Achieve Milestones.J Am Heart Assoc. 2016 Dec 19;5(12):e004432. doi: 10.1161/JAHA.116.004432. J Am Heart Assoc. 2016. PMID: 27993832 Free PMC article. Review. No abstract available.
References
-
- Berlowitz DR, Ash AS, Hickey EC, Friedman RH, Glickman M, Kader B, Moskowitz MA. N Engl J Med. Vol. 339. 1998. Inadequate management of blood pressure in a hypertensive population; pp. 1957–1963. - PubMed
-
- Oliveria SA, Lapuerta P, McCarthy BD, L'Italien GJ, Berlowitz DR, Asch SM. Physician-related barriers to the effective management of uncontrolled hypertension. Arch Intern Med. 2002;162:413–420. - PubMed
-
- Hyman DJ, Pavlik VN. Characteristics of patients with uncontrolled hypertension in the United States. N Engl J Med. 2001;345:479–486. - PubMed
-
- Grumbach K, Bodenheimer T. Can health care teams improve primary care practice? JAMA. 2004;291:1246–1251. - PubMed
Publication types
MeSH terms
Associated data
Grants and funding
LinkOut - more resources
Full Text Sources
Medical