A cluster-randomized effectiveness trial of a physician-pharmacist collaborative model to improve blood pressure control.

A cluster-randomized effectiveness trial of a physician-pharmacist collaborative model to improve blood pressure control.
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DOI:
10.1161/circoutcomes.109.908038
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发表时间:
2010-07
期刊:
Circulation. Cardiovascular quality and outcomes
影响因子:
--
通讯作者:
Collaboration Among Pharmacists Physicians To Improve Outcomes Now (CAPTION) Trial Investigators
Collaboration Among Pharmacists Physicians To Improve Outcomes Now (CAPTION) Trial Investigators
中科院分区:
其他
文献类型:
--
作者:
Carter BL;Clarke W;Ardery G;Weber CA;James PA;Vander Weg M;Chrischilles EA;Vaughn T;Egan BM;Collaboration Among Pharmacists Physicians To Improve Outcomes Now (CAPTION) Trial Investigators

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许多研究已经证明了团队护理在改善血压控制方面的价值,但这些模式是否适用于不同人群的信息有限。本研究的目的是评估医师和药剂师之间的合作模式是否可以改善具有不同地理和患者特征的多个初级保健医疗办公室的血压控制,以及长期血压控制是否可以持续。本研究是一项随机前瞻性试验,在27个初级保健办公室首先按未被充分代表的少数民族的百分比和办公室内的临床药学服务水平分层。然后,每个医疗办公室被随机分为9个月或24个月的干预组或对照组。患者将被纳入这项研究直到2012年。本研究的结果应该提供关于该模式是否可以在大量不同的办公室实施,是否在不同的人群中有效,以及BP控制是否可以长期持续的信息。
Numerous studies have demonstrated the value of team-based care to improve blood pressure (BP) control but there is limited information on whether these models would be adopted in diverse populations. The purpose of this study is to evaluate whether a collaborative model between physicians and pharmacists can improve BP control in multiple primary care medical offices with diverse geographic and patient characteristics and whether long-term BP control can be sustained. This study is a randomized prospective trial in 27 primary care offices first stratified by the percent of under-represented minorities and the level of clinical pharmacy services within the office. Each medical office was then randomized to either a 9 or 24 month intervention or to a control group. Patients will be enrolled in this study until 2012. The results of this study should provide information on whether this model can be implemented in large numbers of diverse offices, if it is effective in diverse populations and whether BP control can be sustained long-term.