Effectiveness of Treating Hypertension Patients that Receiving Drugs at Community Pharmacy in Muang Tak Primary Care, Muang Tak District, Tak Province
Keywords:
Community Pharmacy, Primary Care, Primary Care Cluster, HypertensionAbstract
Background and Objective: Hypertension was the important non-communicable diseases. At the same time, Ministry of Public Health has set up the received drugs at pharmacy near home project for reduce overcrowding in hospital. Therefor, this research has aim to study effectiveness of treating hypertension patients that receiving drugs at Community Pharmacy in Muang Tak Primary Care, Muang Tak District, Tak Province.
Method: Historical control was designed in hypertensive patients who received treatment at Primary Care Cluster, Somdejphajaotaksinmaharaj Hospital. The sample was divided into two groups: (1) the received drugs at Community Pharmacy (experimental group) (n=319) and (2) the received drugs at Taksin PCC (control group) (n=638) since October 1, 2020 - September 30, 2021. Compare the blood pressure after 3, 6 and 12 months. And compare the BMI, lipid levels, eGFR and complications after 1 year. Data were analyzed by using descriptive statistics, independent t-test, Mann-Whitney U Test, Exact probability test, Repeated Measures Analysis and Multivariable Gaussian regression.
Results: The follow-up on 3, 6 and 12 months, there were not significantly different in blood pressure levels among Community Pharmacy group and Taksin PCC group. The Community pharmacy group had declined of 1.13 mmHg per month in systolic blood pressure (95%CI=-0.16, 0.12, p=0.775) and 0.51 mmHg per month in diastolic blood pressure. (95%CI=-0.15, 0.06, p=0.424). The Taksin PCC group had declined of 1.12 mmHg per month in systolic blood pressure (95%CI=-1.20, -1.04, p<0.001) and 0.47 mmHg per month in diastolic blood pressure (95%CI=-0.54, -0.41, p<0.001). The other clinical outcomes after 1 year follow-up were not significantly different either.
Conclusions: The received drugs at Community Pharmacy has clinical outcomes were not different from Taksin PCC.
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