Integrating Family Medicine and Pharmacy to Advance Primary Care Therapeutics

• Status: Completed
• Trial end date: 2006-07-01
• Target enrollment: 0
• Participant gender: All

Summary

Recent health policy documents have endorsed an integrated model of collaboration between pharmacists and physicians in primary care. The integration of pharmacists into primary care has been identified as a priority for primary health care reform in Canada. However, the best way to do this has not been demonstrated or evaluated. This demonstration project shows the various ways in which pharmacists can be trained and integrated into different family practice settings, the processes and costs associated with doing this, and the outcomes observed. The main hypothesis is that pharmacist integration into family practice will optimize medication use, clinical care and clinical outcomes. This information provides policy makers with necessary information about collaboration between pharmacists and family physicians for their overall goal of reforming the delivery of primary health care to the population.

• Phase: Phase 4
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Hamilton Health Sciences Corporation
• Treatments: Coal Tar

Criteria

Inclusion Criteria:

65 + years and any two of the following:

• Elevated blood pressure

• Elevated hemoglobin A1C

• Elevated LDL-C

• Diagnosis of hypertension and no blood pressure readings in past 12 months

• Diagnosis of diabetes and no hemoglobin A1C readings in past 12 months

• Diagnosis of hyperlipidemia and no cholesterol readings in past 12 months

• Diagnosis of osteoarthritis or rheumatoid arthritis

• Using narcotics

• Diagnosis of hypertension, diagnosis of diabetes and not using an ACE inhibitor

• Diagnosis of hypertension, elevated blood pressure and using an NSAID

• Diagnosis of hyperlipidemia, elevate dLDL-C and not using a lipid lowering agent

• Diagnosis of hypertension, high blood pressure and not using a potassium wasting diuretic

Exclusion Criteria:

• Less than one visit to family physician in past 12 months

• More than 20 visits to family physician in past 12 months

• Awaiting placement to a nursing home or long-term care facility

• Alcoholism

• Palliative care patient

• Family physician only sees patient as a home visit