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- W2182513395 abstract "Background: International studies have demonstrated that blood pressure control in community settings can be improved when pharmacists collaborate with physicians in hypertension management. To date, no study has investigated the impact of this collaborative model in a hospital setting. Aim: To determine if a pharmacist-physician collaborative model can achieve better BP control in a hospital setting. Method: This non-randomised intervention study evaluated consecutive subjects with a history of hypertension admitted to a specialist rehabilitation hospital. The study collected demographic and BP related data on a retrospectively identified ‘physician-alone managed hypertension model’ (pre-intervention arm). Rehabilitation physicians were then educated on the National Heart Foundation (NHF) Hypertension Guidelines, before prospective data was collected representing a ‘pharmacist-physician collaborative model’ (intervention arm) where the pharmacist actively collaborated with the physicians in hypertension management by recommending changes to anti-hypertensive therapy based on NHF Hypertension Guidelines. Results: Anti-hypertensive therapy was altered to a greater extent post-intervention (p<0.001), reflecting a change in prescribing practices of the rehabilitation physicians. This resulted in a mean systolic blood pressure reduction of 9.1 mmHg in the intervention group compared to 3.6 mmHg in the pre-intervention group (p=0.106). Allowing for baseline differences, subjects’ systolic blood pressure control had a significantly greater likelihood to move towards attainment of target level in the intervention group (p=0.013), with 20.8% patients reaching target systolic blood pressure compared to 10.5% pre-intervention group (p=0.143). Conclusion: The pharmacist-physician collaborative model improved the prescribing habits of the rehabilitation physicians in the management of hypertension and produced a significant movement in subject’s blood pressure control towards target levels at discharge from hospital. Larger studies with longer follow-up periods extending into community settings are needed to confirm these results." @default.
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- W2182513395 date "2013-06-01" @default.
- W2182513395 modified "2023-09-24" @default.
- W2182513395 title "Pharmacist-physician collaboration to optimise blood pressure control during inpatient rehabilitation" @default.
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