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一项回顾性队列研究:比较家庭医学诊所中药师与初级保健提供者协作实践和常规护理对糖尿病控制的效果

Retrospective Cohort Study Comparing Pharmacist-Primary Care Provider Collaborative Practice to Usual Care for Diabetes Control in a Family Medicine Clinic.

作者信息

Sizemore Megan J, Szymanski Kate L, Barry Robin A

机构信息

Toledo Veterans Administration Clinic, Toledo, OH.

University of Toledo, Toledo, OH.

出版信息

Clin Diabetes. 2025 Jan 15;43(2):262-269. doi: 10.2337/cd23-0102. eCollection 2025 Spring.

Abstract

This retrospective cohort study examined whether patients ( = 122) with either type 1 or type 2 diabetes who participated in a pharmacist-primary care provider collaborative practice model (PPCPM) for diabetes management experienced greater decline in their A1C compared with patients who received usual care during the same period (June 2021 to June 2022). PPCPM patients experienced an A1C decline of ∼0.22% per month, whereas the mean A1C of patients in usual care did not change over the study period. Although participating in PPCPM was associated with a decline in A1C, number of visits with the pharmacist was not associated with either initial A1C or change in A1C for people in PPCPM.

摘要

这项回顾性队列研究考察了参与药剂师-初级医疗服务提供者糖尿病管理协作实践模式(PPCPM)的122例1型或2型糖尿病患者,与同期(2021年6月至2022年6月)接受常规护理的患者相比,糖化血红蛋白(A1C)水平是否有更大幅度的下降。参与PPCPM的患者每月A1C水平下降约0.22%,而接受常规护理的患者的平均A1C水平在研究期间没有变化。虽然参与PPCPM与A1C水平下降有关,但药剂师问诊次数与PPCPM患者的初始A1C水平或A1C变化均无关。

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