A Partnership between community pharmacists and general practitioners in the management of ischaemic heart disease: a feasibility study
Bibliographic record
Abstract
AIM • To explore the feasibility of pharmacist involvement in the management of patients with stable angina, when working with general practitioners (GPs). DESIGN • Protocol guided management of patients with stable angina. The study involved two face-to-face reviews conducted in general practices at the beginning and end of the five-month study and two brief interim telephone reviews. The patient reviews concentrated on six evidence-based interventions: smoking cessation, dietary advice, exercise, aspirin, beta-blockers and statins. SUBJECTS AND SETTING • The feasibility study was undertaken by five community pharmacists working in eight general practices within St Helens and Knowsley Health Authority, an area with a high ischaemic heart disease standardised mortality rate. 327 patients with stable angina (grades I-III, Canadian Cardiovascular Society classification criteria) were invited to participate in the study. OUTCOME MEASURES • Changes in: patient management across the six evidence-based interventions; angina grade assessed using the Canadian Cardiovascular Society classification criteria; quality of life and functional status assessed using the Seattle Angina Questionnaire. RESULTS • 236 (72%) of the invited patients participated in the study. 208 (88%) remained in the study until completion. Their mean age was 65 years (44-77 years); 94 (40%) were female and 142 (60%) were male. 105 therapeutic interventions were suggested by the pharmacists following the first patient reviews. 93 (89%) were accepted and included those relating to the sub-optimal use of nitrates. Improvements were seen as a consequence of both therapeutic and lifestyle interventions, the outcome of which was improved disease specific quality of life. CONCLUSIONS • The community pharmacists demonstrated their ability to work with general practitioners to deliver a specified model of care for the secondary prevention of ischaemic heart disease.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".