Open AccessPhysician Acceptance of a Physician‐Pharmacist Collaborative Treatment Model for Hypertension Management in Primary Care
Author(s) -
Smith Steven M.,
Hasan Michaela,
Huebschmann Amy G.,
Penaloza Richard,
SchorrRatzlaff Wagner,
Sieja Amber,
Roscoe Nicholai,
Trinkley Katy E.
Publication year - 2015
Publication title -
the journal of clinical hypertension
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 67
eISSN - 1751-7176
pISSN - 1524-6175
DOI - 10.1111/jch.12575
Subject(s) - medicine , referral , pharmacist , family medicine , interquartile range , primary care , medline , pharmacy , political science , law
Physician‐pharmacist collaborative care ( PPCC ) is effective in improving blood pressure ( BP ) control, but primary care provider ( PCP ) engagement in such models has not been well‐studied. The authors analyzed data from PPCC referrals to 108 PCP s, for patients with uncontrolled hypertension, assessing the proportion of referral requests approved, disapproved, and not responded to, and reasons for disapproval. Of 2232 persons with uncontrolled hypertension, PPCC referral requests were sent for 1516 (67.9%): 950 (62.7%) were approved, 406 (26.8%) were disapproved, and 160 (10.6%) received no response. Approval rates differed widely by PCP with a median approval rate of 75% (interquartile range, 41%–100%). The most common reasons for disapproval were: PCP prefers to manage hypertension (19%), and BP controlled per PCP (18%); 8% of cases were considered too complex for PPCC . Provider acceptance of a PPCC hypertension clinic was generally high and sustained but varied widely among PCP s. No single reason for disapproval predominated.