Planas Lourdes G, Crosby Kimberly M, Mitchell Kimberly D, Farmer Kevin C
College of Pharmacy, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73117-1200, USA.
J Am Pharm Assoc (2003). 2009 Mar-Apr;49(2):164-70. doi: 10.1331/JAPhA.2009.08164.
To evaluate the effect of a 9-month community pharmacy-based medication therapy management (MTM) program on quality of care in patients with diabetes and hypertension.
Randomized controlled trial.
Tulsa, OK, between November 2005 and July 2007.
52 patients with diabetes and hypertension who were enrolled in a managed care organization.
During monthly visits, intervention group participants received MTM services for hypertension and diabetes management.
Systolic blood pressure (SBP), percentage at goal blood pressure (<130/80 mm Hg), and antihypertensive medication adherence.
The mean intervention group SBP decreased 17.32 mm Hg, whereas the mean control group SBP level increased 2.73 mm Hg (P = 0.003). The percentage of patients at goal blood pressure increased from 16.0% to 48.0% in the intervention group and decreased from 20.0% to 6.67% in the control group. Intervention group participants were 12.92 times more likely than control group participants to achieve goal blood pressure (P = 0.021). Although the mean adherence rate in the intervention group increased 7.0% while remaining fairly constant in the control group (-0.7%), this group difference was not statistically significant.
A community pharmacy-based hypertension MTM program was effective in improving blood pressure control among managed care enrollees with diabetes and hypertension. Community pharmacists are strategically positioned to provide MTM services and effectively communicate with providers to improve quality of care for patients.
评估一项为期9个月的基于社区药房的药物治疗管理（MTM）项目对糖尿病和高血压患者护理质量的影响。
随机对照试验。
俄克拉何马州塔尔萨市，2005年11月至2007年7月。
52名参加管理式医疗组织的糖尿病和高血压患者。
在每月的就诊过程中，干预组参与者接受高血压和糖尿病管理的MTM服务。
收缩压（SBP）、血压达标百分比（<130/80 mmHg）以及抗高血压药物依从性。
干预组的平均SBP下降了17.32 mmHg，而对照组的平均SBP水平上升了2.73 mmHg（P = 0.003）。干预组血压达标的患者百分比从16.0%增至48.0%，而对照组则从20.0%降至6.67%。干预组参与者达到血压目标的可能性是对照组参与者的12.92倍（P = 0.021）。尽管干预组的平均依从率提高了7.0%，而对照组保持相对稳定（-0.7%），但两组之间的差异无统计学意义。
基于社区药房的高血压MTM项目在改善参加管理式医疗的糖尿病和高血压患者的血压控制方面是有效的。社区药剂师处于战略地位，能够提供MTM服务并与医疗服务提供者有效沟通，以提高患者的护理质量。
