Browsing by Author "Tenti, Mauro"
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- ItemPhysician-pharmacist collaborative practice and telehealth may transform hypertension management.(0000-00-00) Omboni, Stefano; Tenti, Mauro; Coronetti, ClaudioCommunity pharmacists play a crucial role in hypertension management and their intervention mainly including education medication monitoring and reviewing blood pressure BP measurement and cardiovascular risk factors tracking have proved to enhance BP control and adherence to antihypertensive treatment A multidisciplinary collaborative approach with the referring physician and a patient centered model of care have been proved to be particularly effective for improving control of hypertension and promoting patients health The inclusion of telehealth in such model the so called telepharmacy may expand the reach of the pharmacist s intervention and provide pharmacy operations and patient care at a distance with further benefits for hypertensive patients and their managing physicians Very few randomized controlled studies have evaluated the clinical efficacy of the implementation of telepharmacy services in the management of hypertension with the strongest evidence limited to physician pharmacist collaborative interventions based on home BP telemonitoring plus patient education on lifestyle drug therapy and cardiovascular risk factors control The results of these trials documented a benefit of telehealth mainly in terms of improvement of BP control consequent to antihypertensive medication intensification and optimization Although promising these results need to be corroborated through larger prospective and long term studies which should also evaluate additional long term benefits of telepharmacy services in hypertension management
- ItemTelepharmacy for the management of cardiovascular patients in the community.(0000-00-00) Omboni, Stefano; Tenti, MauroTelepharmacy is devised to provide pharmacy operations and patient care at a distance and to expand access to healthcare enhance patients safety and improve patient outcomes A variety of technologies models of care and interventions are used to develop and provide telepharmacy services serving diversified populations with different pathological conditions including cardiovascular diseases Unfortunately very few randomized controlled studies have evaluated the clinical efficacy of the implementation of telepharmacy services in the management of various cardiovascular conditions with the strongest evidence being limited to telemonitoring studies in the areas of hypertension and diabetes Although the clinical efficacy of telepharmacy and its cost effectiveness are far from being fully proved the inclusion of telepharmacy services in healthcare models may offer the unique opportunity to increase access to screening and improve care of cardiovascular conditions