التفاصيل البيبلوغرافية
| العنوان: |
Improved Patient-Reported Medication Adherence, Patient Satisfaction, and Glycemic Control in a Collaborative Care Pharmacist-Led Diabetes 'Tune-Up' Clinic |
| المؤلفون: |
Jan D. Hirsch, Nancy Kong, Kevin T. Nguyen, Christine L. Cadiz, Crystal Zhou, Sarah A. Bajorek, Mark Bounthavong, Candis M. Morello |
| المصدر: |
MDPI, IJERPH. 18(17):1-10 |
| سنة النشر: |
2021 |
| 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. |
| نوع الوثيقة: |
redif-article |
| اللغة: |
English |
| الإتاحة: |
https://ideas.repec.org/a/gam/jijerp/v18y2021i17p9242-d627402.html |
| رقم الأكسشن: |
edsrep.a.gam.jijerp.v18y2021i17p9242.d627402 |
| قاعدة البيانات: |
RePEc |
