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The high-impact of clinical pharmacy services is demonstrated through: Significant clinical outcomes improvement (e.g., hypertension control in reported patients, improved A1c, higher tobacco cessation rates) Expanded access to care by alleviating provider shortages and reducing primary care burden Increased system efficiency through pharmacist-led visits and reduced provider workload Revenue generation potential in states with pharmacist provider recognition, in some cases covering full salary costs For more information, read Economic and Clinical Impact of Pharmacy Service in the Indian Health Service: A White Paper

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Religion was another determinant, with women from minority faiths exhibiting higher tobacco use, possibly due to the stronger taboos surrounding tobacco within Hindu and Muslim communities

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