Diabetes-Related Patient Outcomes through Comprehensive Medication Management Delivered by Clinical Pharmacists in a Rural Family Medicine Clinic
Two clinical pharmacy faculty members from a college of pharmacy provide comprehensive medication management in a rural family medicine clinic. The data was assessed for patients with diabetes managed by the pharmacists from 1 January 2017 through to 31 December 2019 to determine the service’s impac...
Main Authors: | , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2020-07-01
|
Series: | Pharmacy |
Subjects: | |
Online Access: | https://www.mdpi.com/2226-4787/8/3/115 |
id |
doaj-28ddca52b44d40e5952bda1947ec87d7 |
---|---|
record_format |
Article |
spelling |
doaj-28ddca52b44d40e5952bda1947ec87d72020-11-25T02:59:54ZengMDPI AGPharmacy2226-47872020-07-01811511510.3390/pharmacy8030115Diabetes-Related Patient Outcomes through Comprehensive Medication Management Delivered by Clinical Pharmacists in a Rural Family Medicine ClinicJarred Prudencio0Michelle Kim1Department of Pharmacy Practice, The Daniel K. Inouye College of Pharmacy, University of Hawaii at Hilo, Hilo, HI 96720, USADepartment of Pharmacy Practice, The Daniel K. Inouye College of Pharmacy, University of Hawaii at Hilo, Hilo, HI 96720, USATwo clinical pharmacy faculty members from a college of pharmacy provide comprehensive medication management in a rural family medicine clinic. The data was assessed for patients with diabetes managed by the pharmacists from 1 January 2017 through to 31 December 2019 to determine the service’s impact on patient outcomes. The primary outcome of this study is the change in the goal attainment rates of the three clinical goals of hemoglobin A1c, blood pressure, and appropriate statin therapy after pharmacist intervention. A total of 207 patients were included. At baseline, the patients had an average of 1.13 of the three goals met, improving to an average of 2.02 goals met after pharmacist intervention (<i>p</i> < 0.001). At baseline, 4.8% of the patients had met all three clinical goals, improving to 30.9% after pharmacist intervention (<i>p</i> < 0.001). There were significant improvements for the individual goal attainment rates of hemoglobin A1c (24.15% vs. 51.21%, <i>p</i> < 0.001), blood pressure (42.51% vs. 85.51%, <i>p</i> < 0.001), and appropriate statin therapy (45.89% vs. 65.70%, <i>p</i> < 0.001). This data adds to the evidence supporting the integration of clinical pharmacists into primary care clinics to improve patient outcomes related to diabetes.https://www.mdpi.com/2226-4787/8/3/115diabeteshypertensiondyslipidemiaprimary carefamily medicinecomprehensive medication management |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jarred Prudencio Michelle Kim |
spellingShingle |
Jarred Prudencio Michelle Kim Diabetes-Related Patient Outcomes through Comprehensive Medication Management Delivered by Clinical Pharmacists in a Rural Family Medicine Clinic Pharmacy diabetes hypertension dyslipidemia primary care family medicine comprehensive medication management |
author_facet |
Jarred Prudencio Michelle Kim |
author_sort |
Jarred Prudencio |
title |
Diabetes-Related Patient Outcomes through Comprehensive Medication Management Delivered by Clinical Pharmacists in a Rural Family Medicine Clinic |
title_short |
Diabetes-Related Patient Outcomes through Comprehensive Medication Management Delivered by Clinical Pharmacists in a Rural Family Medicine Clinic |
title_full |
Diabetes-Related Patient Outcomes through Comprehensive Medication Management Delivered by Clinical Pharmacists in a Rural Family Medicine Clinic |
title_fullStr |
Diabetes-Related Patient Outcomes through Comprehensive Medication Management Delivered by Clinical Pharmacists in a Rural Family Medicine Clinic |
title_full_unstemmed |
Diabetes-Related Patient Outcomes through Comprehensive Medication Management Delivered by Clinical Pharmacists in a Rural Family Medicine Clinic |
title_sort |
diabetes-related patient outcomes through comprehensive medication management delivered by clinical pharmacists in a rural family medicine clinic |
publisher |
MDPI AG |
series |
Pharmacy |
issn |
2226-4787 |
publishDate |
2020-07-01 |
description |
Two clinical pharmacy faculty members from a college of pharmacy provide comprehensive medication management in a rural family medicine clinic. The data was assessed for patients with diabetes managed by the pharmacists from 1 January 2017 through to 31 December 2019 to determine the service’s impact on patient outcomes. The primary outcome of this study is the change in the goal attainment rates of the three clinical goals of hemoglobin A1c, blood pressure, and appropriate statin therapy after pharmacist intervention. A total of 207 patients were included. At baseline, the patients had an average of 1.13 of the three goals met, improving to an average of 2.02 goals met after pharmacist intervention (<i>p</i> < 0.001). At baseline, 4.8% of the patients had met all three clinical goals, improving to 30.9% after pharmacist intervention (<i>p</i> < 0.001). There were significant improvements for the individual goal attainment rates of hemoglobin A1c (24.15% vs. 51.21%, <i>p</i> < 0.001), blood pressure (42.51% vs. 85.51%, <i>p</i> < 0.001), and appropriate statin therapy (45.89% vs. 65.70%, <i>p</i> < 0.001). This data adds to the evidence supporting the integration of clinical pharmacists into primary care clinics to improve patient outcomes related to diabetes. |
topic |
diabetes hypertension dyslipidemia primary care family medicine comprehensive medication management |
url |
https://www.mdpi.com/2226-4787/8/3/115 |
work_keys_str_mv |
AT jarredprudencio diabetesrelatedpatientoutcomesthroughcomprehensivemedicationmanagementdeliveredbyclinicalpharmacistsinaruralfamilymedicineclinic AT michellekim diabetesrelatedpatientoutcomesthroughcomprehensivemedicationmanagementdeliveredbyclinicalpharmacistsinaruralfamilymedicineclinic |
_version_ |
1724700408488656896 |