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document
Evaluation of hypertensive patients after care provided by community pharmacists in a rural setting . We evaluated blood pressure control , quality of life , quality of care , and satisfaction of patients who were monitored by specially trained community pharmacists in a group medical practice . After participating in an intensive skill development program , pharmacists performed in an interdisciplinary team in a rural clinic . The primary objective was assessed by evaluating outcome variables at 6 months compared with baseline in 25 patients randomly assigned to a study group . A control group of 26 patients was also evaluated to determine if outcome variables remained constant from baseline to 6 months . Systolic blood pressure was reduced in the study group ( 151 mm Hg baseline , 140 mm Hg at 6 mo , p < 0.001 ) and diastolic blood pressure was significantly lower at 2 , 4 , and 5 months compared with baseline . Ratings from a blinded peer review panel indicated significant improvement in the appropriateness of the blood pressure regimen , going from 8.7 +/- 4.7 to 10.9 +/- 4.5 in the study group ( p < 0.01 ) , but they did not change in the control group . Several quality of life scores improved significantly in the study group after 6 months ( p < 0.05 ) . These included physical functioning ( 61.6 vs 70.7 ) , physical role limitations ( 56.8 vs 72.8 ) , and bodily pain ( 60.0 vs 71.7 ) at baseline and 6 months , respectively . There were no significant changes in the control group . Patient satisfaction scores were consistently higher in the study group at the end of the study . Our results indicate that when community pharmacists in a clinic setting are trained and included as members of the primary care team , significant improvements in blood pressure control , quality of life , and patient satisfaction can be achieved .
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Intervention_Educational
community pharmacists
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Intervention_Educational
specially trained community pharmacists
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Intervention_Educational
intensive skill development program
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Intervention_Educational
community pharmacists
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Outcome_Physical
blood pressure control
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Outcome_Other
quality of life
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Outcome_Other
quality of care
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Outcome_Other
satisfaction of patients
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Outcome_Physical
Systolic blood pressure
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Outcome_Physical
diastolic blood pressure
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Outcome_Other
quality of life scores
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Outcome_Physical
physical functioning
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Outcome_Physical
physical role limitations
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Outcome_Pain
bodily pain
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Outcome_Other
Patient satisfaction scores
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Outcome_Physical
blood pressure control
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Outcome_Other
quality of life
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Outcome_Mental
patient satisfaction
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Participant_Condition
hypertensive
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Participant_Condition
rural setting
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Participant_Sample-size
25
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Participant_Sample-size
26