Details:

• Alternative Title:
  J Public Health Manag Pract
• Personal Author:
  Zagel, Alicia L. ; Brummel, Amanda R. ; Chacon, Megan ; May O’Donnell, R. ; Styles, Emily ; ... More +

  Zagel, Alicia L. ; Brummel, Amanda R. ; Chacon, Megan ; May O’Donnell, R. ; Styles, Emily ; Peacock, James M. Less -
• Description:
  Objective.
  
  Evaluate a cardiovascular care intervention intended to increase access to comprehensive medication management (CMM) pharmacy care and improve vascular health goals among socially disadvantaged patients.
  
  Design.
  
  Retrospective electronic health records-based evaluation.
  
  Setting.
  
  Thirteen healthcare clinics serving socially vulnerable neighborhoods within a large health system.
  
  Participants.
  
  Hypertensive and hyperlipidemic adult patients.
  
  Intervention.
  
  CMM pharmacists increased recruitment among patients who met clinical criteria in clinics serving more diverse and socially vulnerable communities. CMM pharmacists partnered with patients to work toward meeting health goals through medication management and lifestyle modification.
  
  Main Outcome Measure(s).
  
  Changes in engagement of socially disadvantaged patients between pre-intervention and intervention time periods; vascular health goals (i.e. controlled blood pressure, appropriate statin and aspirin therapies, tobacco non-use) and use of health system resources by CMM care group.
  
  Results.
  
  The intervention indicated an overall shift in sociodemographics among patients receiving CMM care (fewer non-Hispanic Whites: N=1988, 55.81% vs. N=2264, 59.97%, p<.001; greater place-based social vulnerability: N=1354, 38.01% vs. N=1309, 34.68%, p=.034; more patients requiring interpreters: N=776, 21.79% vs. N=698, 18.49%, p<.001) compared to the pre-intervention period. Among patients meeting intervention criteria, those who partnered with CMM pharmacists (N=439) were more likely to connect with system resources (social work: N=47, 10.71% vs. 163, 3.74%, p<.001; medical specialists: N=249, 56.72% vs. N=1989, 45.66%; p<.001) compared to those without CMM care (N=4356). Intervention patients who partnered with CMM pharmacists were also more likely to meet blood pressure (N=357, 81.32% vs. N=3317, 76.15%, p<.001) and statin goals (N=397, 90.43% vs. N=3509, 80.56%, p<.001) compared to non-CMM patients.
  
  Conclusions.
  
  Demographics of patients receiving CMM became more diverse with the intervention, indicating improved access to CMM pharmacists. Cultivating relationships among patients with greater social disadvantage and cardiovascular disease and CMM pharmacists may improve health outcomes and connect patients to essential resources, thus potentially improving long-term cardiovascular outcomes.
  
  
• Subjects:
  [+]

  Adult Aged Female Health Equity Humans Hypertension Male Medication Therapy Management Middle Aged Pharmacists Retrospective Studies
• Keywords:
  [+]

  Dyslipidemia Medication Therapy Management Patient Care Team Pharmacy Care Secondary Prevention Social Determinants Of Health
• Source:
  J Public Health Manag Pract. 30:S141-S151
• Pubmed ID:
  39041750
• Pubmed Central ID:
  PMC11268790
• Document Type:
  Journal Article
• Funding:
  NU58DP006611/DP/NCCDPHP CDC HHSUnited States/ ; NU58DP006611/ImCDC/Intramural CDC HHSUnited States/

  NU58DP006611/DP/NCCDPHP CDC HHSUnited States/ ; NU58DP006611/ImCDC/Intramural CDC HHSUnited States/ Less -
• Volume:
  30
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  [+]

  urn:sha-512:8e784a135f4d3038c7d028ed75c666224e9fa9736ac5ae128f7180e28b5bc045c4f8ebf2e092e13f68d95cf167d2789d6e74a506b7f57619a67a92203c0938f5
• File Type:

• Supporting Files:
  No Additional Files