Schuessler Tyler J, Ruisinger Janelle F, Hare Sarah E, Prohaska Emily S, Melton Brittany L
Balls Food Stores-Hen House Market Pharmacy, Olathe, KS, USA
Department of Pharmacy Practice, University of Kansas School of Pharmacy, Lawrence, KS, USA.
J Pharm Pract. 2016 Oct;29(5):484-9. doi: 10.1177/0897190014568672. Epub 2015 Feb 10.
To assess patient satisfaction, perception of self-management, and perception of disease state knowledge with pharmacist-led diabetes and cardiovascular disease state management (DSM) programs.
A self-insured chain of grocery store pharmacies in the Kansas City metropolitan area administers pharmacist-led diabetes and cardiovascular DSM programs for eligible employees and dependents. A modified version of the Diabetes Disease State Management Questionnaire was used to assess patient satisfaction with the DSM programs. Demographic information was also collected. Survey items were based on a 5-point Likert scale (1 = strongly disagree and 5 = strongly agree). Patients were eligible to complete the survey if he or she had been in at least 1 DSM program for 6 months. Data were assessed using descriptive statistics and analysis of variance.
Across 20 pharmacies, 281 eligible participants were identified, and 46% (n = 128) completed a survey. Means for summed items relating to overall satisfaction (8 items), self-management (5 items), and knowledge (4 items) were 36.6/40 (standard deviation [SD] = 3.9), 20.9/25 (SD = 3.4), and 17.6/20 (SD = 2.1), respectively. Participant comments further indicated that the program and pharmacists are helpful and increase motivation and accountability.
Positive patient responses to the program support use of pharmacist-led DSM programs.
评估由药剂师主导的糖尿病和心血管疾病状态管理（DSM）项目中患者的满意度、自我管理认知以及疾病状态知识认知。
堪萨斯城都会区一家自我投保的连锁杂货店药房为符合条件的员工及其家属实施由药剂师主导的糖尿病和心血管疾病DSM项目。采用经修改的糖尿病疾病状态管理问卷来评估患者对DSM项目的满意度。还收集了人口统计学信息。调查项目基于5点李克特量表（1 = 强烈不同意，5 = 强烈同意）。如果患者参加至少1个DSM项目达6个月，就有资格完成该调查。使用描述性统计和方差分析对数据进行评估。
在20家药房中，确定了281名符合条件的参与者，其中46%（n = 128）完成了调查。与总体满意度（8项）、自我管理（5项）和知识（4项）相关的汇总项目的均值分别为36.6/40（标准差[SD] = 3.9）、20.9/25（SD = 3.4）和17.6/20（SD = 2.1）。参与者的评论进一步表明该项目和药剂师很有帮助，且能增强动力和责任感。
患者对该项目的积极反馈支持采用由药剂师主导的DSM项目。
