Journal article
A centralized cardiovascular risk service to improve guideline adherence in private primary care offices
Contemporary clinical trials, Vol.43, pp.25-32
07/2015
DOI: 10.1016/j.cct.2015.04.014
PMCID: PMC4522340
PMID: 25952471
Abstract
Many large health systems now employ clinical pharmacists in team-based care to assist patients and physicians with management of cardiovascular (CV) diseases. However, small private offices often lack the resources to hire a clinical pharmacist for their office. The purpose of this study is to evaluate whether a centralized, web-based CV risk service (CVRS) managed by clinical pharmacists will improve guideline adherence in primary care medical offices in rural and small communities.
This study is a cluster randomized prospective trial in 12 primary care offices. Medical offices were randomized to either the CVRS intervention or usual care. The intervention will last for 12months and all subjects will have research visits at baseline and 12months. Primary outcomes will include adherence to treatment guidelines and control of key CV risk factors. Data will also be abstracted from the medical record at 30months to determine if the intervention effect is sustained after it is discontinued.
This study will enroll subjects through 2015 and results will be available in 2018. This study will provide information on whether a distant, centralized CV risk service can improve guideline adherence in medical offices that lack the resources to employ clinical pharmacists.
Details
- Title: Subtitle
- A centralized cardiovascular risk service to improve guideline adherence in private primary care offices
- Creators
- Barry L Carter - Department of Pharmacy Practice and Science, College of Pharmacy, United StatesBarcey T Levy - Department of Family Medicine, Roy J. and Lucille A. Carver College of Medicine, United StatesBrian Gryzlak - Department of Pharmacy Practice and Science, College of Pharmacy, United StatesElizabeth A Chrischilles - Department of Epidemiology, College of Public Health, United StatesMark W Vander Weg - Iowa City Veterans Administration, United StatesAlan J Christensen - Department of Internal Medicine, Carver College of Medicine, United StatesPaul A James - Department of Family Medicine, Roy J. and Lucille A. Carver College of Medicine, United StatesCarol A Moss - Department of Family Medicine, Roy J. and Lucille A. Carver College of Medicine, United StatesChristopher P Parker - Department of Pharmacy Practice and Science, College of Pharmacy, United StatesTyler Gums - Department of Pharmacy Practice and Science, College of Pharmacy, United StatesRachel J Finkelstein - Department of Pharmacy Practice and Science, College of Pharmacy, United StatesYinghui Xu - Department of Family Medicine, Roy J. and Lucille A. Carver College of Medicine, United StatesJeffrey D Dawson - Department of Biostatistics, College of Public Health, The University of Iowa, United StatesLinnea A Polgreen - Department of Pharmacy Practice and Science, College of Pharmacy, United States
- Resource Type
- Journal article
- Publication Details
- Contemporary clinical trials, Vol.43, pp.25-32
- DOI
- 10.1016/j.cct.2015.04.014
- PMID
- 25952471
- PMCID
- PMC4522340
- NLM abbreviation
- Contemp Clin Trials
- ISSN
- 1551-7144
- eISSN
- 1559-2030
- Publisher
- Elsevier Inc
- Grant note
- DOI: 10.13039/100000050, name: National Heart, Lung, and Blood Institute, award: R01HL116311
- Language
- English
- Date published
- 07/2015
- Academic Unit
- Pharmacy; Public Health Administration; Epidemiology; Psychological and Brain Sciences; Economics; Biostatistics; Family and Community Medicine; Pharmacy Practice and Science; Injury Prevention Research Center; Community and Behavioral Health; Internal Medicine
- Record Identifier
- 9983995181702771
Metrics
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