Department of Pharmacotherapeutics & Clinical Research, Taneja College of Pharmacy, Morsani College of Medicine, University of South Florida, 12901 Bruce B Downs Blvd, MDC 30, Tampa, FL 33612. Email:
Department of Internal Medicine, Morsani College of Medicine, University of South Florida, Tampa, Florida.
Prev Chronic Dis. 2020 Jun 4;17:E40. doi: 10.5888/pcd17.190377.
Collaborative practice models that use an advanced practice pharmacist (APP) have been shown to improve outcomes for patients with chronic diseases. Few studies have evaluated the effects of team-based practice models involving an APP for time needed to attain glycated hemoglobin A (HbA) goals in patients with diabetes mellitus (type 2 diabetes). Ours is a retrospective cohort study, involving patients with type 2 diabetes who worked with a pharmacist in an academic family medicine clinic. These patients experienced a shorter time to achieve an HbA of less than 7%, as compared with patients who did not work with a pharmacist. Future studies should evaluate the length of time patients can sustain an HbA of less than 7% with team-based care involving an APP and the influence of such care on diabetes-related complications.
协作实践模式，采用高级执业药师（APP），已被证明可以改善慢性病患者的治疗效果。但很少有研究评估涉及 APP 的团队实践模式对达到糖化血红蛋白 A（HbA）目标所需时间的影响，而这种模式适用于糖尿病患者（2 型糖尿病）。我们的研究是一项回顾性队列研究，涉及在学术家庭医学诊所与药剂师合作的 2 型糖尿病患者。与未与药剂师合作的患者相比，这些患者实现 HbA 低于 7%的时间更短。未来的研究应评估患者在 APP 参与的团队护理下，HbA 低于 7%的维持时间以及这种护理对糖尿病相关并发症的影响。
