Addressing evidence treatment gaps for cardiovascular disease through primary care collaboration
McNamara, Kevin P, Janus, Edward D, Philpot, Benjamin, Laatikainen, Tiina and Dunbar, James A 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.].
2009 GP & PHC Research Conference : Driving change
Primary Health Care Research and Information Service
Place of publication
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
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)
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