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. 2018 Jan;20(1):88-95.
doi: 10.1111/jch.13150. Epub 2017 Dec 13.

Pharmacist-physician collaborative care model and time to goal blood pressure in the uninsured population

Dave L Dixon  1   2 , Evan M Sisson  1   2 , Eric D Parod  2 , Benjamin W Van Tassell  2 , Pramit A Nadpara  2 , Daniel Carl  3 , Alan W Dow  3   4
Affiliations

Pharmacist-physician collaborative care model and time to goal blood pressure in the uninsured population

Dave L Dixon et al. J Clin Hypertens (Greenwich). 2018 Jan.

Abstract

Pharmacist-physician collaborative practice models (PPCPMs) improve blood pressure (BP) control, but their effect on time to goal BP is unknown. This retrospective cohort study evaluated the impact of a PPCPM on time to goal BP compared with usual care using data from existing medical records in uninsured patients with hypertension. The primary outcome was time from the initial visit to the first follow-up visit with a BP <140/90 mm Hg. The study included 377 patients (259 = PPCPM; 118 = usual care). Median time to BP goal was 36 days vs 259 days in the PPCPM and usual care cohorts, respectively (P < .001). At 12 months, BP control was 81% and 44% in the PPCPM and usual care cohorts, respectively (P < .001) and therapeutic inertia was lower in the PPCPM cohort (27.6%) compared with usual care (43.7%) (P < .0001). Collaborative models involving pharmacists should be considered to improve BP control in high-risk populations.

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Conflict of interest statement

None.

Figures

Figure 1
Figure 1
Consort flow diagram of selected patients. BP indicates blood pressure; eGFR, estimated glomerular filtration rate; HTN, hypertension; PPCPM, pharmacist‐physician collaborative practice model
Figure 2
Figure 2
Pharmacist‐physician collaborative practice models (PPCPMs) improve time to goal blood pressure (BP). The primary outcome of time to goal BP is shown using a Kaplan–Meier survival analysis. The median time to goal BP for the PPCPM was 36 days, compared with 259 days for the usual care (SC) cohort
See this image and copyright information in PMC

Comment in

  • Collaborative care model for hypertension.
    Carter BL. Carter BL. J Clin Hypertens (Greenwich). 2018 Jan;20(1):96-97. doi: 10.1111/jch.13142. Epub 2017 Dec 13. J Clin Hypertens (Greenwich). 2018. PMID: 29237101 Free PMC article. No abstract available.

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