Infosphere interaction of clinicians, pharmacists and patients in management of hypertension. Improvement options

Abstract

Arterial hypertension remains a leading risk factor for cardiovascular disease and mortality. Adequate antihypertensive therapy requires not only the development of new drugs and drug combinations, but also close professional interaction between specialists at all levels of healthcare, with mandatory patient involvement in this process. The aim of this study was to investigate information requests, ways of satisfying them, and interaction in the information field of internists, pharmaceutical workers, and patients in the treatment of arterial hypertension, and to propose ways to improve professional interaction. Material and methods included surveying doctors (n = 99), pharmaceutical workers (n = 220), and patients with arterial hypertension (n = 382), analyzing their medical documentation, organizing joint educational events during the qualification improvement of specialists at different levels of healthcare, and developing a special computer program for the automated workplace of a doctor and pharmacist as a means of improving the level of professional interaction. Results presented the profile of the main information requirements of specialists and patients in the treatment of arterial hypertension and its pharmaceutical support. The need for constant interaction in the triad doctor—pharmacist—patient was substantiated. A concept of an automated workplace for doctors and pharmacists was developed, and its functional computer program was provided. The automated workplace was tested in Yaroslavl pharmacies. Conclusion. Close professional interaction between healthcare specialists with patient involvement is an important aspect of rational pharmacotherapy. Unifi cation of the information environment of medical and pharmacy institutions allows eliminating discrepancies in medical and pharmaceutical consultations and ultimately contributes to clinical success.