The University of Texas at Austin, School of Nursing, United States.
Texas State University, St. David's School of Nursing, United States.
Res Social Adm Pharm. 2020 Oct;16(10):1387-1391. doi: 10.1016/j.sapharm.2020.01.011. Epub 2020 Jan 22.
People with diabetes face many challenges to following healthcare provider recommendations for self-management and few are able to achieve and maintain reductions in average blood glucose level. Interdisciplinary teams are a promising strategy to help patients with diabetes improve outcomes.
An observational analysis of electronic health record data to evaluate the impact of a clinical pharmacist, case manager, or a combination of both on clinical outcomes for patients with diabetes.
All patients (N = 970), regardless of visit type, had a statistically significant improvement in A1C, LDL, and total cholesterol over 1 year. Patients who saw both a case manager and clinical pharmacist had the greatest improvements with the steepest changes across all measures.
Clinics should create interdisciplinary teams that include a clinical pharmacist and a case manager to have the best outcomes for their patients with diabetes.
糖尿病患者在遵循医疗保健提供者的自我管理建议方面面临诸多挑战，很少有人能够实现并维持平均血糖水平的降低。跨学科团队是帮助糖尿病患者改善治疗效果的一种很有前景的策略。
对电子健康记录数据进行观察性分析，以评估临床药师、个案经理或两者结合对糖尿病患者临床结局的影响。
所有患者（N=970），无论就诊类型如何，在 1 年内 A1C、LDL 和总胆固醇均有统计学意义上的显著改善。同时看临床药师和个案经理的患者在所有指标上都有最大的改善，变化幅度最大。
诊所应组建包括临床药师和个案经理在内的跨学科团队，以达到最佳的糖尿病患者治疗效果。
