A Mixed-Method Approach to Evaluate a Pharmacist Intervention for Veterans With Hypertension

作者：Parker Christopher P^*; Cunningham Cassie L; Carter Barry L; Vander Weg Mark W; Richardson Kelly K; Rosenthal Gary E

来源：Journal of Clinical Hypertension, 2014, 16(2): 133-140.

DOI：10.1111/jch.12250

This paper examines blood pressure (BP) control after 6months of an intensive pharmacist-managed intervention in a mixed-methods randomized controlled trial conducted at the Iowa City Veteran Affairs Health Care System and two community-based outreach clinics. Patients received the pharmacist intervention for the first 6months. The study coordinator conducted a summative evaluation with 37 patients 18 to 24months following the initial 6-month intervention period. BP was significantly reduced in diabetic patients following an intensive pharmacist intervention (-8.0/-4.0 +/- 14.4/9.1mmHg systolic/diastolic, P<.001 and P=.001, respectively). BP was reduced even more in nondiabetic patients (-14.0/-5.0 +/- 1.9/10.0mmHg, P<.001). Medication adherence significantly improved from baseline to 6 months (P=.017). BPs were significantly lower at 6months following an intensive pharmacist intervention. Patients also expressed a high level of satisfaction with and preference for co-management of their hypertension, as well as other chronic diseases.

• 出版日期2014-2