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Improved Patient-Reported Medication Adherence, Patient Satisfaction, and Glycemic Control in a Collaborative Care Pharmacist-Led Diabetes “Tune-Up” Clinic

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 medic...

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Autores principales: Hirsch, Jan D., Kong, Nancy, Nguyen, Kevin T., Cadiz, Christine L., Zhou, Crystal, Bajorek, Sarah A., Bounthavong, Mark, Morello, Candis M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8430603/
https://www.ncbi.nlm.nih.gov/pubmed/34501837
http://dx.doi.org/10.3390/ijerph18179242
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author Hirsch, Jan D.
Kong, Nancy
Nguyen, Kevin T.
Cadiz, Christine L.
Zhou, Crystal
Bajorek, Sarah A.
Bounthavong, Mark
Morello, Candis M.
author_facet Hirsch, Jan D.
Kong, Nancy
Nguyen, Kevin T.
Cadiz, Christine L.
Zhou, Crystal
Bajorek, Sarah A.
Bounthavong, Mark
Morello, Candis M.
author_sort Hirsch, Jan D.
collection PubMed
description 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.
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spelling pubmed-84306032021-09-11 Improved Patient-Reported Medication Adherence, Patient Satisfaction, and Glycemic Control in a Collaborative Care Pharmacist-Led Diabetes “Tune-Up” Clinic Hirsch, Jan D. Kong, Nancy Nguyen, Kevin T. Cadiz, Christine L. Zhou, Crystal Bajorek, Sarah A. Bounthavong, Mark Morello, Candis M. Int J Environ Res Public Health Article 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. MDPI 2021-09-01 /pmc/articles/PMC8430603/ /pubmed/34501837 http://dx.doi.org/10.3390/ijerph18179242 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Hirsch, Jan D.
Kong, Nancy
Nguyen, Kevin T.
Cadiz, Christine L.
Zhou, Crystal
Bajorek, Sarah A.
Bounthavong, Mark
Morello, Candis M.
Improved Patient-Reported Medication Adherence, Patient Satisfaction, and Glycemic Control in a Collaborative Care Pharmacist-Led Diabetes “Tune-Up” Clinic
title Improved Patient-Reported Medication Adherence, Patient Satisfaction, and Glycemic Control in a Collaborative Care Pharmacist-Led Diabetes “Tune-Up” Clinic
title_full Improved Patient-Reported Medication Adherence, Patient Satisfaction, and Glycemic Control in a Collaborative Care Pharmacist-Led Diabetes “Tune-Up” Clinic
title_fullStr Improved Patient-Reported Medication Adherence, Patient Satisfaction, and Glycemic Control in a Collaborative Care Pharmacist-Led Diabetes “Tune-Up” Clinic
title_full_unstemmed Improved Patient-Reported Medication Adherence, Patient Satisfaction, and Glycemic Control in a Collaborative Care Pharmacist-Led Diabetes “Tune-Up” Clinic
title_short Improved Patient-Reported Medication Adherence, Patient Satisfaction, and Glycemic Control in a Collaborative Care Pharmacist-Led Diabetes “Tune-Up” Clinic
title_sort improved patient-reported medication adherence, patient satisfaction, and glycemic control in a collaborative care pharmacist-led diabetes “tune-up” clinic
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8430603/
https://www.ncbi.nlm.nih.gov/pubmed/34501837
http://dx.doi.org/10.3390/ijerph18179242
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