Evaluating the effectiveness of hypertension screening in the community pharmacy

Evaluating the effectiveness of hypertension screening in the community pharmacy

ABSTRACTS: HIGH A-91 EVALUATING THE EFFECTIVENESS COMMUNITY PHARMACY Marcellus Grace, College New Orleans, Louisiana; BLOOD PRESSURE CONTROL OF ...

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ABSTRACTS:

HIGH

A-91 EVALUATING THE EFFECTIVENESS COMMUNITY PHARMACY Marcellus Grace, College New Orleans, Louisiana;

BLOOD

PRESSURE

CONTROL

OF HYPERTENSION

of Pharmacy, Xavier Warren P. McKenna

SCREENING University

IN THE of

Louisiana,

A hypertension screening program was conducted at twelve Walgreen Pharmacies in New Orleans, Louisiana. Of the 1940 blood pressures taken during a three day period, 463 patients (23.9 percent) were found hypertensive ( based on the NHBPEP criteria) and referred to their own physicians for secondary screening. A telephone followup survey found that, of the 240 patients who could be contacted, 202 (84.2 percent) had seen their physician. One hundred forty-one (69.8 percent) were diagnosed hypertensive and placed on a course of therapy. One hundred thirty-two (93.6 percent ) of the patients reported that they were still complying with the prescribed treatment regimen. Twenty patients hypertensives. sequently placed

(9.9 percent) were identified as newly diagnosed Twelve (5.9 percent) of these patients were subon a treatment regimen by their physicians.

Two hundred thirty-four patients benefited from the program and pharmacy screening program.

(97.5 percent) would participate

felt at

they had the next

A-92 THE EFFECTIVENESS HYPERTENSION

OF PHARMACY-BASED

COMPLIANCE

Maryann 2. Greer, Northeastern University Professions, Boston, Massachusetts; Frank

INTERVENTION

College

IN CONTROLLING

of Pharmacy and Allied

A. Finnerty,

Health

Jr.

By screening and monitoring 6,000 clients for 2 years in Franklin, Massachusetts, a rural community of 20,000, 30% were classified as hypertensive. Of these, 65% were previously diagnosed hypertensives and under the care of a physician. In analyzing nant reason resistance, "Step-Care regimens.

Several

the client-interview for deficient care of inadequate prescription Therapy" approach) and

pharmacy-based

compliance

questionnaire, hypertensives practices to incomplete

intervention

it was determined that the predomicould be attributed to pharmacologic by physicians (e.g. not following the adherence by patients to prescribed

techniques

and motivational procedures, were introduced in order compliance. These include: monitoring of hypertensives' tracking, verbal reinforcement at time of prescription physicians whenever it seemed helpful and appropriate. Pharmacy-based intervention 80% increase in compliance it is possible tion gathered, sample population.

to

, with specific educational produce better prescription profiles, prescription

refill,

involving

clients'

in this study resulted in unanimous acceptance and an From the informa(6 mos.) by physicians and patients. to determine the predictors of compliance in any