Key result
Primary care provider approval for physician-pharmacist collaborative care referrals for uncontrolled hypertension was 62.7%, with a median approval rate of 75% per provider.
Why the study?
What is the rate of primary care provider acceptance of physician-pharmacist collaborative care referrals for uncontrolled hypertension?
Observational (n=1,516)
What is the rate of primary care provider acceptance of physician-pharmacist collaborative care referrals for uncontrolled hypertension?
Primary care provider acceptance of a physician-pharmacist collaborative care model for hypertension is generally high but varies widely among individual providers.
Answers are grounded in this paper and cite their sources.
Supports collaborative hypertension care models; leaves open provider-level barriers to consistent referral uptake.
Physician-pharmacist collaborative care (PPCC) is effective in improving blood pressure (BP) control, but primary care provider (PCP) engagement in such models has not been well-studied. The authors analyzed data from PPCC referrals to 108 PCPs, for patients with uncontrolled hypertension, assessing the proportion of referral requests approved, disapproved, and not responded to, and reasons for disapproval. Of 2232 persons with uncontrolled hypertension, PPCC referral requests were sent for 1516 (67.9%): 950 (62.7%) were approved, 406 (26.8%) were disapproved, and 160 (10.6%) received no response. Approval rates differed widely by PCP with a median approval rate of 75% (interquartile range, 41%-100%). The most common reasons for disapproval were: PCP prefers to manage hypertension (19%), and BP controlled per PCP (18%); 8% of cases were considered too complex for PPCC. Provider acceptance of a PPCC hypertension clinic was generally high and sustained but varied widely among PCPs. No single reason for disapproval predominated.
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Smith et al. (2015) conducted an observational in Uncontrolled hypertension (n=1,516). Physician-pharmacist collaborative care (PPCC) referral was evaluated on Proportion of referral requests approved. Primary care provider approval for physician-pharmacist collaborative care referrals for uncontrolled hypertension was 62.7%, with a median approval rate of 75% per provider.
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