Prudencio Jarred, Kim Michelle
Department of Pharmacy Practice, The Daniel K. Inouye College of Pharmacy, University of Hawaii at Hilo, Hilo, HI 96720, USA.
Pharmacy (Basel). 2020 Jul 9;8(3):115. doi: 10.3390/pharmacy8030115.
Two clinical pharmacy faculty members from a college of pharmacy provide comprehensive medication management in a rural family medicine clinic. The data was assessed for patients with diabetes managed by the pharmacists from 1 January 2017 through to 31 December 2019 to determine the service's impact on patient outcomes. The primary outcome of this study is the change in the goal attainment rates of the three clinical goals of hemoglobin A1c, blood pressure, and appropriate statin therapy after pharmacist intervention. A total of 207 patients were included. At baseline, the patients had an average of 1.13 of the three goals met, improving to an average of 2.02 goals met after pharmacist intervention ( < 0.001). At baseline, 4.8% of the patients had met all three clinical goals, improving to 30.9% after pharmacist intervention ( < 0.001). There were significant improvements for the individual goal attainment rates of hemoglobin A1c (24.15% vs. 51.21%, < 0.001), blood pressure (42.51% vs. 85.51%, < 0.001), and appropriate statin therapy (45.89% vs. 65.70%, < 0.001). This data adds to the evidence supporting the integration of clinical pharmacists into primary care clinics to improve patient outcomes related to diabetes.
一所药学院的两名临床药学教员在一家乡村家庭医学诊所提供全面的药物管理服务。对2017年1月1日至2019年12月31日期间由药剂师管理的糖尿病患者数据进行评估，以确定该服务对患者治疗结果的影响。本研究的主要结果是药剂师干预后糖化血红蛋白、血压和适当他汀类药物治疗这三个临床目标的达标率变化。共纳入207例患者。基线时，患者平均实现了1.13个目标，药剂师干预后平均实现了2.02个目标（<0.001）。基线时，4.8%的患者实现了所有三个临床目标，药剂师干预后提高到30.9%（<0.001）。糖化血红蛋白（24.15%对51.21%，<0.001）、血压（42.51%对85.51%，<0.001）和适当他汀类药物治疗（45.89%对65.70%，<0.001）的个体目标达标率均有显著提高。这些数据进一步证明了将临床药剂师纳入基层医疗诊所可改善与糖尿病相关的患者治疗结果。
