University of Tennessee College of Pharmacy, 193Polk Avenue, Suite 2D, Nashville, TN, 37210, USA.
Medical Center Compounding Pharmacy, 2401 Ocoee St., Cleveland, TN, 37311, USA.
Res Social Adm Pharm. 2019 May;15(5):615-618. doi: 10.1016/j.sapharm.2018.06.008. Epub 2018 Jun 12.
The emphasis that United States employers are placing on employee wellness continues to grow; however, most attention has been paid to larger firms to gauge return-on-investment from a larger pool of enrollees. With fewer resources available to fund expansive wellness programs, smaller businesses need a cost-effective mechanism to provide such benefits. As the most accessible healthcare provider, community pharmacists are in an ideal position to support certain wellness programs for smaller businesses. This research piloted a community pharmacist-led, employer-sponsored wellness program for a self-insured financial services company in Tennessee. Employees with diabetes, hypertension, hyperlipidemia, asthma, or COPD were recruited from the partnering firm to receive live, one-on-one counseling from a community pharmacist over a calendar year. Each session was tailored to individual employee's needs and goals but generally focused on medication adherence, diet, exercise, and health maintenance strategies. Fifteen employees participated in the program, and improvements in clinical measures were not realized over the course of a year. Some, albeit not statistically significant, improvements were seen in self-reported medication adherence and quality of life; however, a trend toward some weight gain was observed. Results suggest that, similar to Medicare beneficiaries, working-age adults with certain chronic conditions may benefit from pharmacist-led MTM programs but deeper investigation is needed.
美国雇主对员工健康的重视程度持续增加;然而,大多数注意力都集中在大型公司身上,以衡量更大参保人群的投资回报。由于可用于资助大型健康计划的资源较少,小企业需要一种具有成本效益的机制来提供此类福利。作为最容易接触到的医疗保健提供者,社区药剂师非常适合为小型企业提供某些健康计划。这项研究为田纳西州的一家自我保险金融服务公司试点了一个由社区药剂师主导、雇主赞助的健康计划。从合作公司招募患有糖尿病、高血压、高血脂、哮喘或 COPD 的员工,让他们在一整年内接受社区药剂师的现场一对一咨询。每次咨询都根据员工的个人需求和目标进行定制,但通常侧重于药物依从性、饮食、锻炼和健康维护策略。共有 15 名员工参加了该计划,但在一年的时间里,临床指标并没有改善。尽管没有统计学意义,但在自我报告的药物依从性和生活质量方面有一些改善;然而,观察到体重增加的趋势。结果表明,与医疗保险受益人相似,患有某些慢性病的成年工作者可能会从药剂师主导的药物治疗管理计划中受益,但需要进行更深入的调查。