Abstract
Objective: To know the opinion of sanitary professionals working at the Primary Health Care Centers (PCHc) about the potential role of Communitary Pharmacy Offices (cPhO) in the management of blood pressure (BP).Design and method: Survey structured into 12 questions with semi closed answers was addressed to physicians (Ph) and nurses (Nr) of the 250 PCHc in the Comunitat Valenciana (CV), a region in the east coast of Spain. Results: 952 professionals answered the survey. Most participants were Ph (63.1%), females (50.8%) with 20.9 ± 10.0 years of experience. More than 20 reasons were considered as potential advantages of cPhO for BP control compared with PCHc (Table). 3.9% of participants believed that cPhO have not any advantage. The most common answers to the question What do you think is the role of the cPhO in the management of BP? were: Easier detection of undiagnosed and/or uncontrolled hypertension (35.7%), Coordinated aid for the PCHc (30.4%), and None (18.7%). The percentage of those thinking that cPhO have not any potential role was significantly lower in Alicante (13.3 % vs. 20.2 and 20.7 % for Castellón and Valencia), without differences in gender, experience or professional collective. The majority (62.9 %) of participants thinks that the cPhO are fulfilling their role, with 3.9% saying that they Do not know. Those with a negative point of view were mainly men (34.8 vs. 28.3%) and Ph (34.9 vs. 25.0%) (p > 0.05 for both). It was pointed 13 different reasons to think that cPhO are not fulfilling their role, mainly: Inadequate measurement methodology (24.1%), Ignorance about the disease (16.7 %), Tendency to overestimate BP values and alarm patients (16.3%), No coordination with PHCc (8.9%). Conclusions: The majority of professionals working at PCHc think that cPhO has advantages for management of BP, mainly flexibility, accessibility and lower WCE. More than 80% of PCHc thinks that cPhO are fulfilling their potential role. Inadequate methodology for measurement as well alarmism are the main reasons to think that cPhO are not fulfilling their potential role. Phy have a more negative opinion.
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