Evidence
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Evidence
Applying the evidence (GOALL) (PDF)
A prescription at discharge (PDF)
Compliance:
Studies show 1 in 5 patients do not take their medications as prescribed. Moreover, they don’t fill out the Prescription they are given.
Dr. Saposnik (St Michael’s Hospital) conducted several studies showing that at least 20% of high risk patients are not in target values for cholesterol blood work 1 year after intervention.
Evidence from studies conducted in Canada, USA and Europe show that a large group of patients fail to achieve guideline-recommended targets, and this apparent treatment gap was more pronounced among patients with cardiovascular disease and women. Quality improvement strategies should target these patient subgroups**.
To add more, a 2016 study published in Hypertension revealed that pharmacist intervention reduced racial and socioeconomic disparities in the treatment of blood pressure.***
Only 67% of your patients will fill your Prescription after a week of being discharged, and data shows that among them 12% will not fill or renew the Prescription after a year. That number drops another 5% at the 2 year mark*.
References (attached):
*A Prescription at Discharge Improves Long-term Adherence for Secondary Stroke Prevention. Jenny P. Tsai,Paula A. Rochon, Stavroula Raptis, Susan E. Bronskill, Chaim M. Bell and Gustavo Saposnik,MD. Journal of Stroke and Cerebrovascular Diseases, Vol. 23, No. 9 (October), 2014: pp 2308-2315
**Applying the Evidence Do Patients With Stroke, Coronary Artery Disease, or Both Achieve Similar Treatment Goals? Gustavo Saposnik, MD, MSc, FAHA; Shaun G. Goodman, MD, MSc; Lawrence A. Leiter, MD; Raymond T. Yan, MD; David H. Fitchett, MD; Neville H. Bayer, MD; Amparo Casanova, MD, PhD; Anatoly Langer, MD, MSc; Andrew T. Yan, MD; for the Vascular Protection (VP),* Guidelines-Oriented Approach to Lipid-Lowering (GOALL) Registries Investigators,* and on behalf of the Stroke Outcome Research Canada (SORCan) Working GroupStroke. 2009;40:1417-1424.)
***Physician-Pharmacist Collaborative Management: Narrowing the Socioeconomic Blood Pressure Gap.
Anderegg , Gums TH, Uribe L, Coffey CS, James PA Carter BL.Hypertension. 2016 Sep 6.
