A Randomized Controlled Trial of Team-Based Care: Impact of Physician-Pharmacist Collaboration on Uncontrolled Hypertension

ABSTRACT OBJECTIVE Evaluate the effectiveness of collaborative management of hypertension by primary care-pharmacist teams in community-based clinics. STUDY DESIGN A 12-month prospective, single-blind, randomized, controlled trial in the Providence Primary Care Research Network of patients with hype...

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Bibliographic Details
Published in:Journal of general internal medicine : JGIM 2008-12, Vol.23 (12), p.1966-1972
Main Authors: Hunt, Jacquelyn S., Siemienczuk, Joseph, Pape, Ginger, Rozenfeld, Yelena, MacKay, John, LeBlanc, Benjamin H., Touchette, Daniel
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Biological and medical sciences
Collaboration
Cooperative Behavior
Disease Management
Female
General aspects
Health care delivery
Health participants
Humans
Hypertension
Hypertension - physiopathology
Hypertension - psychology
Hypertension - therapy
Internal Medicine
Male
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Miscellaneous
Original
Original Article
Patient Care Team - trends
Patient Satisfaction
Pharmacists
Pharmacists - trends
Physicians
Physicians - trends
Primary care
Prospective Studies
Public health. Hygiene
Public health. Hygiene-occupational medicine
Single-Blind Method
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Summary:ABSTRACT OBJECTIVE Evaluate the effectiveness of collaborative management of hypertension by primary care-pharmacist teams in community-based clinics. STUDY DESIGN A 12-month prospective, single-blind, randomized, controlled trial in the Providence Primary Care Research Network of patients with hypertension and uncontrolled blood pressure. METHODS As compared to usual primary care, intervention consisted of pharmacy practitioners participating in the active management of hypertension in the primary care office according to established collaborative treatment protocols. At baseline, there was no significant difference in blood pressure between groups. Primary outcome measures were the differences in mean systolic and diastolic blood pressures between arms at study end. Secondary measures included blood pressure goal attainment (
ISSN:0884-8734
1525-1497
DOI:10.1007/s11606-008-0791-x