A Pharmacist Visit Improves Diabetes Standards in a Patient-Centered Medical Home (PCMH)
A Pharmacist Visit Improves Diabetes Standards in a Patient-Centered Medical Home (PCMH)
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DOI：
10.1177/1062860612444304
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发表时间：
2012-11-01
影响因子：
1.4
通讯作者：
Armor, Becky L.
中科院分区：
文献类型：
--
作者：
Edwards, Heather D.;Webb, Ryan D.;Armor, Becky L.
许多糖尿病患者没有得到推荐的治疗标准。糖尿病患者在医生预约完成糖尿病标准前1周由药剂师进行糖尿病评估服务（DAS）。比较5名接受DAS干预的医生的患者和一组随机选择的非参与医生的患者完成美国糖尿病协会（ADA）标准的比率。DAS共检查94例患者；210名患者作为对照组。与对照组相比，DAS患者完成各项标准（糖化血红蛋白、血脂、足部检查、眼科转诊、肺炎球菌和流感疫苗接种、尿微量白蛋白）的比例显著高于对照组（P < 0.001）。每位患者平均完成3.3 +/- 1.8糖尿病标准。以完成《美国残疾人法》护理标准为目标，在该大学家庭医学中心，在预约医生之前安排一次药剂师的计划访问是可行和有效的。
Many patients with diabetes do not receive recommended standards of care. Diabetes patients were seen by a pharmacist in a diabetes assessment service (DAS) 1 week prior to a physician appointment to complete diabetes standards. Completion rates of American Diabetes Association (ADA) standards were compared between patients of 5 physicians offered the DAS intervention and a concurrent cohort of randomly selected patients of nonparticipating physicians. A total of 94 patients were seen by DAS; 210 patients comprised the controls. DAS patients had a significantly higher proportion of each standard completed (glycosylated hemoglobin, lipids, foot exam, eye referral, pneumococcal and influenza vaccination, and urine microalbumin) compared with the control group (P < .001). An average of 3.3 +/- 1.8 diabetes standards per patient were completed. A planned visit with a pharmacist prior to a physician appointment, with the goal of completing ADA standards of care, was feasible and effective in this university-based family medicine center.