Cargando…

Improving Chronic Disease Outcomes Through Medication Therapy Management in Federally Qualified Health Centers

Introduction: Appropriate management of chronic diseases, including proper use of medications, can lead to better disease control, decrease disease-related complications, and improve overall health. Pharmacists have been shown to positively affect chronic disease outcomes through medication therapy...

Descripción completa

Detalles Bibliográficos
Autores principales: Rodis, Jennifer L., Sevin, Alexa, Awad, Magdi H., Porter, Brianne, Glasgow, Kyle, Hornbeck Fox, Carrie, Pryor, Barbara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5932724/
https://www.ncbi.nlm.nih.gov/pubmed/28381095
http://dx.doi.org/10.1177/2150131917701797
_version_ 1783319855545450496
author Rodis, Jennifer L.
Sevin, Alexa
Awad, Magdi H.
Porter, Brianne
Glasgow, Kyle
Hornbeck Fox, Carrie
Pryor, Barbara
author_facet Rodis, Jennifer L.
Sevin, Alexa
Awad, Magdi H.
Porter, Brianne
Glasgow, Kyle
Hornbeck Fox, Carrie
Pryor, Barbara
author_sort Rodis, Jennifer L.
collection PubMed
description Introduction: Appropriate management of chronic diseases, including proper use of medications, can lead to better disease control, decrease disease-related complications, and improve overall health. Pharmacists have been shown to positively affect chronic disease outcomes through medication therapy management (MTM). The primary objectives of this project are to increase the number of patients with (1) A1c in control and (2) blood pressure in control; secondary objectives are to (3) describe number and type of medication-related problems identified and resolved by pharmacists providing MTM in Federally Qualified Health Centers (FQHCs), (4) identify potential (pADEs) and actual adverse drug events (ADEs), and refer patients to diabetes self-management education classes, as needed. Methods: This multisite, prospective, descriptive pilot study engaged three FQHC sites with distinct models of established pharmacist MTM services to care for patients with uncontrolled diabetes and/or hypertension. Data were reported in aggregate regarding primary and secondary outcomes. Results: As of December 2015, 706 patients were enrolled in the project. Of the 422 with uncontrolled diabetes, 52.84% (n = 223) had an A1c <9%; 72 patients (17.06%) achieved an A1c between 8% and 9%, 19.19% (n = 81) of patients achieved an A1c <8% and ≥7%, and 16.59% (n = 70) of patients achieved an A1c <7%. The percentage of patients with blood pressure <140/90 mm Hg improved to 65.21%. Conclusion: Pharmacist-provided MTM can improve chronic disease intermediate outcomes for medically underserved patients in FQHCs.
format Online
Article
Text
id pubmed-5932724
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher SAGE Publications
record_format MEDLINE/PubMed
spelling pubmed-59327242018-05-07 Improving Chronic Disease Outcomes Through Medication Therapy Management in Federally Qualified Health Centers Rodis, Jennifer L. Sevin, Alexa Awad, Magdi H. Porter, Brianne Glasgow, Kyle Hornbeck Fox, Carrie Pryor, Barbara J Prim Care Community Health Pilot Studies Introduction: Appropriate management of chronic diseases, including proper use of medications, can lead to better disease control, decrease disease-related complications, and improve overall health. Pharmacists have been shown to positively affect chronic disease outcomes through medication therapy management (MTM). The primary objectives of this project are to increase the number of patients with (1) A1c in control and (2) blood pressure in control; secondary objectives are to (3) describe number and type of medication-related problems identified and resolved by pharmacists providing MTM in Federally Qualified Health Centers (FQHCs), (4) identify potential (pADEs) and actual adverse drug events (ADEs), and refer patients to diabetes self-management education classes, as needed. Methods: This multisite, prospective, descriptive pilot study engaged three FQHC sites with distinct models of established pharmacist MTM services to care for patients with uncontrolled diabetes and/or hypertension. Data were reported in aggregate regarding primary and secondary outcomes. Results: As of December 2015, 706 patients were enrolled in the project. Of the 422 with uncontrolled diabetes, 52.84% (n = 223) had an A1c <9%; 72 patients (17.06%) achieved an A1c between 8% and 9%, 19.19% (n = 81) of patients achieved an A1c <8% and ≥7%, and 16.59% (n = 70) of patients achieved an A1c <7%. The percentage of patients with blood pressure <140/90 mm Hg improved to 65.21%. Conclusion: Pharmacist-provided MTM can improve chronic disease intermediate outcomes for medically underserved patients in FQHCs. SAGE Publications 2017-04-05 2017-10 /pmc/articles/PMC5932724/ /pubmed/28381095 http://dx.doi.org/10.1177/2150131917701797 Text en © The Author(s) 2017 http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Pilot Studies
Rodis, Jennifer L.
Sevin, Alexa
Awad, Magdi H.
Porter, Brianne
Glasgow, Kyle
Hornbeck Fox, Carrie
Pryor, Barbara
Improving Chronic Disease Outcomes Through Medication Therapy Management in Federally Qualified Health Centers
title Improving Chronic Disease Outcomes Through Medication Therapy Management in Federally Qualified Health Centers
title_full Improving Chronic Disease Outcomes Through Medication Therapy Management in Federally Qualified Health Centers
title_fullStr Improving Chronic Disease Outcomes Through Medication Therapy Management in Federally Qualified Health Centers
title_full_unstemmed Improving Chronic Disease Outcomes Through Medication Therapy Management in Federally Qualified Health Centers
title_short Improving Chronic Disease Outcomes Through Medication Therapy Management in Federally Qualified Health Centers
title_sort improving chronic disease outcomes through medication therapy management in federally qualified health centers
topic Pilot Studies
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5932724/
https://www.ncbi.nlm.nih.gov/pubmed/28381095
http://dx.doi.org/10.1177/2150131917701797
work_keys_str_mv AT rodisjenniferl improvingchronicdiseaseoutcomesthroughmedicationtherapymanagementinfederallyqualifiedhealthcenters
AT sevinalexa improvingchronicdiseaseoutcomesthroughmedicationtherapymanagementinfederallyqualifiedhealthcenters
AT awadmagdih improvingchronicdiseaseoutcomesthroughmedicationtherapymanagementinfederallyqualifiedhealthcenters
AT porterbrianne improvingchronicdiseaseoutcomesthroughmedicationtherapymanagementinfederallyqualifiedhealthcenters
AT glasgowkyle improvingchronicdiseaseoutcomesthroughmedicationtherapymanagementinfederallyqualifiedhealthcenters
AT hornbeckfoxcarrie improvingchronicdiseaseoutcomesthroughmedicationtherapymanagementinfederallyqualifiedhealthcenters
AT pryorbarbara improvingchronicdiseaseoutcomesthroughmedicationtherapymanagementinfederallyqualifiedhealthcenters