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

2017 ◽  
Vol 20 (1) ◽  
pp. 88-95 ◽  
Author(s):  
Dave L. Dixon ◽  
Evan M. Sisson ◽  
Eric D. Parod ◽  
Benjamin W. Van Tassell ◽  
Pramit A. Nadpara ◽  
...  
2019 ◽  
Vol 3 (2) ◽  
pp. 404-409
Author(s):  
Dave L. Dixon ◽  
Eric D. Parod ◽  
Evan M. Sisson ◽  
Benjamin W. Van Tassell ◽  
Pramit A. Nadpara ◽  
...  

Author(s):  
Dave L. Dixon ◽  
William L. Baker ◽  
Leo F. Buckley ◽  
Teresa M. Salgado ◽  
Benjamin W. Van Tassell ◽  
...  

Longer time in target range (TTR) for systolic blood pressure (SBP) is associated with a lower risk of cardiovascular events. Team-based care improves SBP control but its effect on the consistency of SBP control over time is unknown. This post hoc analysis used data from a cluster-randomized trial of a physician/pharmacist collaborative model that randomized medical offices to either a 9- or 24-month pharmacist intervention or control group. TTR for SBP was calculated using linear interpolation and an SBP range of 110 to 130 mm Hg. TTR is reported as median values and group comparisons assessed using the Kruskal-Wallis test. Of the 625 participants enrolled, 524 had 9-month and 366 had 24-month SBP data. Participants were a median 59 years old, 59% female, and 52% minority. After 24 months, the median TTR for SBP was 31.9% and 29.8% for the 9- and 24-month intervention groups, respectively, compared with 19% in the control group ( P =0.0068). This observation persisted in the subgroup of participants with diabetes or chronic kidney disease and minorities. A longer TTR was not associated with an increased risk of adverse drug events. Time to first observed SBP in the target range was shorter in the intervention group compared with control (270 versus 365 days; P =0.0047). A physician/pharmacist collaborative care model achieved longer TTR for SBP compared with control (usual care).


JAMA ◽  
2020 ◽  
Vol 324 (7) ◽  
pp. 651
Author(s):  
Mohammed K. Ali ◽  
Lydia Chwastiak ◽  
Subramani Poongothai ◽  
Karl M. F. Emmert-Fees ◽  
Shivani A. Patel ◽  
...  

2021 ◽  
pp. 2633559X2199485
Author(s):  
Shawn R. Smith ◽  
Christian W. Ruiz ◽  
Salihah Ali ◽  
Caroline J. Kim ◽  
Michael S. Murchie ◽  
...  

2021 ◽  
Vol 24 (3) ◽  
pp. 251-257
Author(s):  
Richard Shulman ◽  
Reenu Arora ◽  
Rose Geist ◽  
Amna Ali ◽  
Julia Ma ◽  
...  

Background We report on the feasibility and effectiveness of an integrated community collaborative care model in improving the health of seniors with depression/anxiety symptoms and chronic physical illness. Methods This community collaborative care model integrates geriatric medicine and geriatric psychiatry with care managers (CM) providing holistic initial and follow-up assessments, who use standardized rating scales to monitor treatment and provide psychotherapy (ENGAGE). The CM presents cases in a structured case review to a geriatrician and geriatric psychia­trist. Recommendations are communicated by the CM to the patient’s primary care provider. Results 187 patients were evaluated. The average age was 80 years old. Two-thirds were experiencing moderate-to-severe depres­sion upon entry and this proportion decreased significantly to one-third at completion. Qualitative interviews with patients, family caregivers, team members, and referring physicians indicated that the program was well-received. Patients had on average six visits with the CM without the need to have a face-to-face meeting with a specialist. Conclusion The evaluation shows that the program is feasible and effect­ive as it was well received by patients and patient outcomes improved. Implementation in fee-for-service publicly funded health-care environments may be limited by the need for dedicated funding.


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