Provider Perspectives on Essential Functions for Care Management in the Collaborative Treatment of Hypertension: The P.A.R.T.N.E.R. Framework

Physician Acceptance of a Physician‐Pharmacist Collaborative Treatment Model for Hypertension Management in Primary Care

“…However, some qualitative studies of PCP preferences for team-based hypertension care suggest that PCPs value several types of collaboration: PCP communication that include relaying information between the patient and PCP; assisting patients in overcoming barriers to adherence; tracking patient progress; engaging patients in disease self-management; and enhancing PCP's confidence in the accuracy of a hypertension diagnosis. [15][16][17] Our findings provide empirical support consistent with these previous data. Specifically, 95% of providers in the present study considered at least one of their patients acceptable for the PPCC hypertension clinic, suggesting that PCPs find a model of collaborative hypertension management led by a clinical pharmacist to be valuable in improving BP control in select patients.…”

“…To our knowledge, qualitative studies have not assessed facilitators or barriers to provider referral of patients for collaborative hypertension treatment. However, some qualitative studies of PCP preferences for team‐based hypertension care suggest that PCPs value several types of collaboration: PCP communication that include relaying information between the patient and PCP; assisting patients in overcoming barriers to adherence; tracking patient progress; engaging patients in disease self‐management; and enhancing PCP's confidence in the accuracy of a hypertension diagnosis . Our findings provide empirical support consistent with these previous data.…”

The Role of Care Management as a Population Health Intervention to Address Disparities and Control Hypertension: A Quasi-Experimental Observational Study

“…Described previously, 3,11,12 the ReDCHiP CM program selected professionals with content expertise in nutritional and pharmacological therapy and lifestyle counseling (ie, three fulltime equivalent registered dietitians [RDs], and one-half fulltime equivalent pharmacist) to intensify hypertension care provided by PCPs. RDs focused on medication adherence and health behavior change around the DASH diet, weight loss, exercise, and self-management behaviors.…”

“…We have previously reported on strategies used to improve adoption. 3,11 Implementation. We measured the number of participants who completed all three sessions, as well as mean face-to-face contact time with care managers and duration of program (from first to last session).…”

“…1,2 Primary care providers (PCPs), who are most likely to treat hypertension, recognize these gaps but lack resources to support patients in chronic illness management, which includes outreach, education, coaching, and frequent follow-up. 3 Payers are now holding PCPs accountable for population hypertension control through pay-forperformance programs, such as the Physician Quality Reporting System and Accountable Care Organization metrics. 4 Blood pressure (BP) control may be an indicator of population health management because hy-Care Management to Control Hypertension -Hussain et al pertension is prevalent but treatable and a risk factor for many diseases; and vulnerable populations are disproportionately affected.…”