Potential of pharmacists to help reduce the burden of poorly managed cardiovascular risk

McNamara, KP; Dunbar, JA; Philpot, B; Marriott, JL; Reddy, P; Janus, ED

Potential of pharmacists to help reduce the burden of poorly managed cardiovascular risk

McNamara, KP Dunbar, JA Philpot, B Marriott, JL Reddy, P

Janus, ED

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Publication Type:: Journal Article
Citation:: Australian Journal of Rural Health, 2012, 20 (2), pp. 67 - 73
Issue Date:: 2012-04-01

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Field	Value	Language
dc.contributor.author	McNamara, KP	en_US
dc.contributor.author	Dunbar, JA	en_US
dc.contributor.author	Philpot, B	en_US
dc.contributor.author	Marriott, JL	en_US
dc.contributor.author	Reddy, P https://orcid.org/0000-0002-0709-9352	en_US
dc.contributor.author	Janus, ED	en_US
dc.date.issued	2012-04-01	en_US
dc.identifier.citation	Australian Journal of Rural Health, 2012, 20 (2), pp. 67 - 73	en_US
dc.identifier.issn	1038-5282	en_US
dc.identifier.uri	http://hdl.handle.net/10453/115260
dc.description.abstract	Introduction: Rural areas require better use of existing health professionals to ensure capacity to deliver improved cardiovascular outcomes. Community pharmacists (CPs) are accessible to most communities and can potentially undertake expanded roles in prevention of cardiovascular disease (CVD). Objective: This study aims to establish frequency of contact with general practitioners (GPs) and CPs by patients at high risk of CVD or with inadequately controlled CVD risk factors. Design, setting and participants: Population survey using randomly selected individuals from the Wimmera region electoral roll and incorporating a physical health check and self-administered health questionnaire. Overall, 1500 were invited to participate. Results: The participation rate was 51% when ineligible individuals were excluded. Nine out of 10 participants visited one or both types of practitioner in the previous 12months. Substantially more participants visited GPs compared with CPs (88.5% versus 66.8%). With the exception of excess alcohol intake, the median number of opportunities to intervene for every inadequately controlled CVD risk factor and among high risk patient groups at least doubled for the professions combined when compared with GP visits alone. Conclusion: Opportunities exist to intervene more frequently with target groups by engaging CPs more effectively but would require a significant attitude shift towards CPs. Mechanisms for greater pharmacist integration into primary care teams should be investigated. © 2012 The Authors. Australian Journal of Rural Health © 2012 National Rural Health Alliance Inc.	en_US
dc.relation.ispartof	Australian Journal of Rural Health	en_US
dc.relation.isbasedon	10.1111/j.1440-1584.2012.01259.x	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Cardiovascular Diseases	en_US
dc.subject.mesh	Risk Assessment	en_US
dc.subject.mesh	Cross-Sectional Studies	en_US
dc.subject.mesh	Cooperative Behavior	en_US
dc.subject.mesh	Interprofessional Relations	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Aged, 80 and over	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Health Promotion	en_US
dc.subject.mesh	Community Pharmacy Services	en_US
dc.subject.mesh	Victoria	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	General Practitioners	en_US
dc.title	Potential of pharmacists to help reduce the burden of poorly managed cardiovascular risk	en_US
dc.type	Journal Article
utslib.citation.volume	2	en_US
utslib.citation.volume	20	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	11 Medical and Health Sciences	en_US
utslib.for	16 Studies in Human Society	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Business
pubs.organisational-group	/University of Technology Sydney/Faculty of Business/Management Discipline
utslib.copyright.status	closed_access
pubs.issue	2	en_US
pubs.publication-status	Published	en_US
pubs.volume	20	en_US

Abstract:

Introduction: Rural areas require better use of existing health professionals to ensure capacity to deliver improved cardiovascular outcomes. Community pharmacists (CPs) are accessible to most communities and can potentially undertake expanded roles in prevention of cardiovascular disease (CVD). Objective: This study aims to establish frequency of contact with general practitioners (GPs) and CPs by patients at high risk of CVD or with inadequately controlled CVD risk factors. Design, setting and participants: Population survey using randomly selected individuals from the Wimmera region electoral roll and incorporating a physical health check and self-administered health questionnaire. Overall, 1500 were invited to participate. Results: The participation rate was 51% when ineligible individuals were excluded. Nine out of 10 participants visited one or both types of practitioner in the previous 12months. Substantially more participants visited GPs compared with CPs (88.5% versus 66.8%). With the exception of excess alcohol intake, the median number of opportunities to intervene for every inadequately controlled CVD risk factor and among high risk patient groups at least doubled for the professions combined when compared with GP visits alone. Conclusion: Opportunities exist to intervene more frequently with target groups by engaging CPs more effectively but would require a significant attitude shift towards CPs. Mechanisms for greater pharmacist integration into primary care teams should be investigated. © 2012 The Authors. Australian Journal of Rural Health © 2012 National Rural Health Alliance Inc.

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http://hdl.handle.net/10453/115260