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