Evaluating the role of pharmacists and m-Health strategies in the management of hypertension in General Pueyrredon

评估药剂师和移动健康策略在普艾雷登将军区高血压管理中的作用

• 批准号: MR/T023546/1
• 负责人: Pablo Perel
• 金额: $ 10.42万
• 依托单位: London School of Hygiene & Tropical Medicine
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2019
• 资助国家: 英国
• 起止时间: 2019 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FT023546%2F1
• 关键词: Evaluating; role; pharmacists; Health; strategies

Hypertension is one of the main cardiovascular risk factors in Argentina and the cause of a high number of diseases and deaths. Although there is extensive knowledge about effective treatments and preventive strategies, there is a gap that limits the translation of this knowledge on the benefits of the patients, especially of the poorer ones. Almost half of hypertensive patients do not know their condition and most of them are not appropriately controlled. Lack of access to health services due to multiple types of barriers as wellas the lack of patients' adherence to control and treatment are the main problems that explain this gap. The incorporation and integration of the pharmacists to the health system and the use of Information and Communication Technologies (ICTs) have showed highly promising results in the improvement of the management of this condition; however, they are scarcely used in Argentina. In 2018, the Secretariat of Health of the Municipality of General Pueyrredón, Province of Buenos Aires, prompted an innovatingcommunity-program, which incorporates the pharmacists to the municipal health system as well as a virtual platform ("Health MGP", https://saludmgp.rpmplay.com/) and a mobile app targeted to hypertensive patients. Pharmacists' incorporation will improve patients' access to health services, as most people have a pharmacy near their home and they do not need a scheduled turn to assist. Besides, pharmacists will collaborate in patients' follow-up, through blood pressure, counselling and medication use supervision. Thevirtual platform will permit hypertensive patients to be part of a virtual community, in which other hypertensive patients and health professionals participate and through which, the patient can interact with others and be actively involved in the management of the disease. The mobile app will send reminders to hypertensive patients to support their involvement in the program and reinforce adherence to recommendations. We propose a mixed-study to assess the access, acceptability, adoption and impact of this program,and to use this experience as a case study to promote the debate among key stakeholders of the policy and legal fields about the pharmacists' participation in the health system as well as the use of ICTs in the management of NCDs and hypertension. The incorporation of these technologies not only constitutes the future in the management of Chronic Disease but also represents a shift in the paradigm of care. They contribute to the transformation of the health system from one that is essentially reactive to one that isproactive through the active involvement of the patient in the self-management of their disease.

高血压是阿根廷主要的心血管风险因素之一，是许多疾病和死亡的原因。虽然有广泛的知识，有效的治疗和预防战略，有一个差距，限制了这种知识的翻译对病人的好处，特别是穷人。几乎一半的高血压患者不知道自己的病情，其中大多数没有得到适当的控制。造成这一差距的主要问题是，由于存在多种障碍，无法获得保健服务，以及病人不坚持控制和治疗。将药剂师纳入卫生系统以及利用信息和通信技术，在改善这一疾病的管理方面显示出非常有希望的结果;然而，在阿根廷几乎没有使用。2018年，布宜诺斯艾利斯省普埃尔雷顿将军市卫生秘书处推动了一项创新的社区计划，该计划将药剂师纳入市政卫生系统以及虚拟平台（“Health MGP”，https：//saludmgp.rpmplay.com/）和针对高血压患者的移动的应用程序。药房的合并将改善病人获得保健服务的机会，因为大多数人在家附近都有一家药房，他们不需要预定的帮助。此外，药剂师亦会透过血压、辅导及监察药物使用，协助跟进病人的情况。该虚拟平台将允许高血压患者成为虚拟社区的一部分，在该虚拟社区中，其他高血压患者和健康专业人员参与其中，患者可以与他人互动并积极参与疾病的管理。这款移动的应用程序将向高血压患者发送提醒，以支持他们参与该计划，并加强对建议的遵守。我们建议进行一项混合研究，以评估该计划的可获得性、可接受性、采用情况和影响，并将此经验作为案例研究，促进政策和法律的领域的主要利益相关者就药剂师参与卫生系统以及在非传染性疾病和高血压管理中使用信息通信技术进行辩论。这些技术的结合不仅构成了慢性病管理的未来，也代表了护理模式的转变。它们有助于通过病人积极参与疾病的自我管理，将卫生系统从一个基本上被动的系统转变为一个主动的系统。