The Asheville Project: Short-term outcomes of a community pharmacy diabetes care program

摘要: Abstract Objectives: To assess short-term clinical, economic, and humanistic outcomes of pharmaceutical care services (PCS) for patients with diabetes in community pharmacies Design: Intention-to-treat, pre–post cohort-with-comparison group study. Setting: Twelve Asheville, N.C. Patients Other Participants: Eighty-five who were employees, dependents, or retirees from two self-insured employers; pharmacists completed a certificate program received reimbursement PCS. Interventions: scheduled consultations over 7 to 9months. Pharmacists provided education, self-monitored blood glucose (SMBG) meter training, clinical assessment, patient monitoring, follow-up, referral. Group 1 began receiving PCS March 1997, 2 1999. Main Outcome Measures: Change baseline the employer groups glycosylated hemoglobin (A1c) values, serum lipid concentrations, health-related quality life (HRQOL), satisfaction pharmacy services, health utilization costs. Results: used SMBG meters at home, stored all readings, brought their them 87% 317 visits (3.7 per patient). Patients‘ A1c concentrations significantly reduced, improved significantly. experienced no change HRQOL. From payers' perspective, there was significant $52 month increase costs both groups, fees prescriptions accounting most increase. In contrast, nonsignificant but economically important 29% decrease nondiabetes 16% all-diagnosis Conclusion: A clear temporal relationship found between A1c, decreased Findings this study demonstrate that effective cognitive refute idea must be certified educators help improve outcomes.