Evaluation of a clinical pharmacist in caring for hypertensive and diabetic patients

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Abstract
A randomized controlled trial was conducted in a medical follow-up clinic to assess the effects of intervention by clinical pharmacists on the management of hypertensive and diabetic patients. Before and after the trial (March 1976 through August 1978), the chronic disease status of patients who received conventional care from a single physician (control group) was compared with the status of patients who received care directly, from a clinical pharmacist (experimental group). The care provided to the experimental patients was monitored closely by physicians on the medical school faculty. The outcome of care provided to patients in the control and experimental groups was equivalent, in terms of diastolic blood pressure and fasting blood sugar levels. However, the control group averaged significantly lower mean systolic pressure (p < 0.02). Patient satisfaction appeared greater in the experimental group, as judged by a statistically higher kept-clinic-appointment rate (p < 0.0005) and a lower dropout rate (p < 0.02). The rate of compliance with therapeutic regimens was higher in the experimental group, but not significantly higher. There were four deaths in the experimental group and H in the control group.

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