Improved Patient-Reported Medication Adherence, Patient Satisfaction, and Glycemic Control in a Collaborative Care Pharmacist-Led Diabetes 'Tune-Up' Clinic
| العنوان: | Improved Patient-Reported Medication Adherence, Patient Satisfaction, and Glycemic Control in a Collaborative Care Pharmacist-Led Diabetes 'Tune-Up' Clinic |
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| المؤلفون: | Sarah A. Bajorek, Christine L. Cadiz, Nancy Kong, Kevin Nguyen, Candis M. Morello, Mark Bounthavong, Crystal Zhou, Jan D. Hirsch |
| المصدر: | International Journal of Environmental Research and Public Health International journal of environmental research and public health, vol 18, iss 17 International Journal of Environmental Research and Public Health, Vol 18, Iss 9242, p 9242 (2021) Volume 18 Issue 17 |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, Glycated Hemoglobin A, patient satisfaction, Health, Toxicology and Mutagenesis, pharmacist, Psychological intervention, Pharmacist, Collaborative Care, Glycemic Control, Toxicology, Pharmacists, Article, Medication Adherence, Patient satisfaction, 7.1 Individual care needs, Clinical Research, Internal medicine, Diabetes mellitus, Diabetes Mellitus, collaborative care, Medicine, Humans, pharmacist–patient relations, Patient Reported Outcome Measures, Glycemic, Cause of death, Glycated Hemoglobin, diabetes, business.industry, Prevention, Public Health, Environmental and Occupational Health, pharmacist-patient relations, medicine.disease, Clinical pharmacy, Good Health and Well Being, Diabetes Mellitus, Type 2, Management of diseases and conditions, business, Type 2 |
| الوصف: | Diabetes complications remain a leading cause of death, which may be due to poor glycemic control resulting from medication nonadherence. The relationship between adherence status and HbA1c (glycemic control) has not been well-studied for clinical pharmacist interventions. This study evaluated medication adherence, patient satisfaction, and HbA1c, in a collaborative pharmacist-endocrinologist diabetes clinic over 6 months. Of 127 referred, 83 patients met the inclusion criteria. Mean medication adherence scores, considered “good” at baseline, 1.4 ± 1.2, improved by 0.05 points (p = 0.018), and there was a 26% increase in patients with good adherence. A significant improvement of 0.40 percentage points (95% CI: −0.47, −0.34) was observed in mean HbA1c across the three time points (p < 0.001). Mean total satisfaction scores were high and increased, with mean 91.3 ± 12.2 at baseline, 94.7 ± 9.6 at 3 months, and 95.7 ± 10.8 at 6 months (p = 0.009). A multimodal personalized treatment approach from a pharmacist provider significantly and positively impacted glycemic control regardless of self-reported medication adherence, and patient satisfaction remained high despite changing to a clinical pharmacist provider and increased care intensity. |
| وصف الملف: | application/pdf |
| تدمد: | 1660-4601 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ceaf2bdfaa86c89b3376c6437c5ddfdf https://pubmed.ncbi.nlm.nih.gov/34501837 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....ceaf2bdfaa86c89b3376c6437c5ddfdf |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 16604601 |
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