Addressing evidence treatment gaps for cardiovascular disease through primary care collaboration

McNamara, Kevin, Janus, Edward, Philpot, Benjamin, Laatikainen, Tiina and Dunbar, James 2009, Addressing evidence treatment gaps for cardiovascular disease through primary care collaboration, in 2009 GP & PHC Research Conference : Driving change, Primary Health Care Research and Information Service, [Melbourne, Vic.].


Title Addressing evidence treatment gaps for cardiovascular disease through primary care collaboration
Author(s) McNamara, Kevin
Janus, Edward
Philpot, Benjamin
Laatikainen, Tiina
Dunbar, James
Conference name GP & PHC Research Conference (2009 : Melbourne, Vic.)
Conference location Melbourne, Vic.
Conference dates 15-17 July 2009
Title of proceedings 2009 GP & PHC Research Conference : Driving change
Publication date 2009
Publisher Primary Health Care Research and Information Service
Place of publication [Melbourne, Vic.]
Summary Aims & Rationale/Objectives
The aim is to establish the frequency of counselling by general practitioners (GPs) and community pharmacists (CPs) for patients with uncontrolled CVD risk factors. This will identify conditions for which CPs might collaborate with GPs in addressing evidence-treatment gaps.

Methods
A population survey undertaken in the Wimmera region of Victoria in 2006. 1425 adults aged 25-84 yrs were randomly selected using age/sex stratified electoral role samples. A representative 723 participants were recruited.

Principal Findings
Data on GP and CP visits were available for 694 participants. Overall, participants visited GPs 4.6 times and CPs 6.0 times/annum. However, one third of participants never consulted a pharmacist in 12 months compared to just 11.5% for GPs. Among obese patients (BMI ?? 30), the average number of visits/annum was 4.5 to GPs and 6.8 to CPs. The equivalent numbers were 5.6 and 8.6 respectively for those with systolic BP ?? 140 mmHg; 3.7 and 5.5 for total cholesterol > 5.0 mmol/L; and, 6.7 and 14.6 for patients with random blood glucose concentrations ?? 7.0 mmol/L.

Implications

People with suboptimal status for most common CVD risk factor are counselled frequently by CPs. A coordinated approach with GPs to the delivery of cardiovascular health promotion could provide valuable reinforcement of key messages and offers greater opportunity to identify at-risk individuals. Acknowledgements: KM is a pharmacist-academic at Greater Green Triangle UDRH, a position funded by the Department of Health and Ageing through the Rural and Remote Pharmacy Workforce Development Program
Language eng
Field of Research 111717 Primary Health Care
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category L2 Full written paper - non-refereed (minor conferences)
Copyright notice ©2009, Primary Health Care Research and Information Service
Persistent URL http://hdl.handle.net/10536/DRO/DU:30021410

Document type: Conference Paper
Collection: Faculty of Health
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