Research Letter |

Blood Pressure 1 Year After Completion of Web-Based Pharmacist Care

Beverly B. Green, MD, MPH1,2,3; Melissa L. Anderson, MS2; James D. Ralston, MD, MPH1,2,4; Sheryl L. Catz, PhD2; Andrea J. Cook, PhD2,5
[+] Author Affiliations
1Group Health Cooperative, Seattle, Washington
2Group Health Research Institute, Seattle, Washington
3Department of Family Medicine, University of Washington Medical School, Seattle
4Department of Health Services University of Washington School of Public Health, Seattle
5Department of Biostatistics, University of Washington School of Public Health, Seattle
JAMA Intern Med. 2013;173(13):1250-1252. doi:10.1001/jamainternmed.2013.1037.
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Meta-analyses provide strong evidence that blood pressure (BP) control improves with “team-based” hypertension care provided by a health professional such as a pharmacist or nurse, separate from physician care.1 Few studies have analyzed whether team care leads to sustained BP reductions after the end of an intervention.

In the Electronic Communications and Home Blood Pressure Trial (e-BP),2 patients with uncontrolled BP were registered to use an existing patient website (with a patient-shared electronic health record [EHR] and secure e-mail) and randomly assigned to receive the following interventions: (1) usual care (UC), (2) home BP monitoring (BPM) and website training, or (3) BPM and website training plus pharmacist team-care delivered via the website (Pharm). At the end of the 1-year intervention, Pharm patients were twice as likely to have controlled BP.2 Our objective was to determine if BP reductions were sustained after the intervention ended.

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