A cluster randomized trial to evaluate a centralized remote clinical pharmacy service in large, health system primary care clinics.

ABSTRACT:

Background

We developed a remote cardiovascular risk service (CVRS) managed by clinical pharmacists to support primary care teams. The purpose of this study was to examine whether the CVRS could improve guideline adherence in primary care clinics with diverse geographic and patient characteristics.

Methods

This study was a cluster-randomized trial initiated in 20 primary care clinics across the US. Clinics were stratified as high or low minority and then randomized to receive the intervention or maintain usual care for 12 months. The primary outcome was adherence to relevant The Guideline Advantage (TGA) criteria met. TGA is a compilation of criteria from practice guidelines intended to improve the quality of primary care. Post-hoc outcomes included changes in individual TGA

SUBMITTER: Kennelty K 

PROVIDER: S-EPMC10234512 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature