Key result
A pharmacist-managed hypertension clinic significantly improved blood pressure, with 80% of patients experiencing reductions and 51% meeting JNC 8 goals (P<0.0001).
Why the study?
To describe clinical pharmacy services in a rural North Carolina primary care clinic and assess their impact on blood pressure in patients with uncontrolled hypertension.
Does a pharmacist-managed hypertension clinic improve blood pressure in patients with uncontrolled hypertension in a rural primary care setting?
Observational
No
Does a pharmacist-managed hypertension clinic improve blood pressure in patients with uncontrolled hypertension in a rural primary care setting?
Pharmacist-managed hypertension clinics in rural primary care settings can effectively improve blood pressure control in patients with uncontrolled hypertension.
May support pharmacist-managed hypertension clinics in rural care; hypothesis-generating and requires randomized confirmation.
OBJECTIVE: To describe clinical pharmacy services provided in a rural North Carolina primary care clinic and assess the impact of these services on systolic and diastolic blood pressures in patients with uncontrolled hypertension. METHODS: This single-center, retrospective study evaluated change in systolic and diastolic blood pressures from baseline, percentage of patients with blood pressure reductions, percentage at The Eight Joint National Committee (JNC 8) goal blood pressure, percentage at care gap closure defined as obtaining a blood pressure <140/90 mm Hg, and time to reach care gap closure. Eighty percent of patients experienced blood pressure reductions from baseline, 51% met their respective JNC 8 goal blood pressure, and 48% met care gap closure. The average time to reach care gap closure was 23 weeks. CONCLUSION: When embedded within a primary care clinic in a rural setting, a pharmacist-managed hypertension clinic significantly improved both systolic and diastolic blood pressures of patients with uncontrolled hypertension.
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Stallings et al. (2020) conducted an observational in Uncontrolled hypertension. Pharmacist-managed hypertension clinic vs. Baseline was evaluated on Change in systolic and diastolic blood pressures from baseline (p=<0.0001). A pharmacist-managed hypertension clinic significantly improved blood pressure, with 80% of patients experiencing reductions and 51% meeting JNC 8 goals (P<0.0001).
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