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European Strategies for Blood Pressure Control

European Strategies for Blood Pressure Control. Prepared for RCI by Helen Ann Halpin, PhD October 1, 2010 Professor, SPH, UC Berkeley Deputy Editor, Public Health Reviews , Sorbonne, Paris. Introduction. Evidence-based hypertension treatment guidelines

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European Strategies for Blood Pressure Control

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  1. European Strategies for Blood Pressure Control Prepared for RCI by Helen Ann Halpin, PhD October 1, 2010 Professor, SPH, UC Berkeley Deputy Editor, Public Health Reviews, Sorbonne, Paris

  2. Introduction Evidence-based hypertension treatment guidelines • E.U. every 2 years; 7 year gap in U.S. • Compare E.U. to U.S. • Compare A.L.L. to E.U. • Role of community pharmacists in E.U.

  3. Major Hypertension Drugs

  4. Hypertension Guidelines: U.S. vs E.U.

  5. Hypertension Guidelines: U.S. vs E.U.

  6. BP RCTs Published Since 2004 (40)

  7. A.L.L. Protocol* vs E.U. Guidelines** *for diabetic patients at risk of cvd mortality ** for treatment of high blood pressure

  8. Community Pharmacists in E.U. • Use of pharmacists as part of primary care team • Primary prevention • Detection • Management • Advantages • Access • Evidence of increased compliance and improved BP control • Challenges • Education and training (beyond Rx filling) • Legal duty to perform (Denmark, Spain, Belgium, France) • Contractual relationship with and payment by insurers (FFS; little evaluation) • Cooperation between physicians and pharmacists • Lack of time

  9. Recent Policy Innovation • France has established a national pharmaceutical electronic record • All community pharmacists must participate • Goal: to prevent adverse drug reactions and redundant treatments

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