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Clinical Outcomes Associated With a Collaborative Pharmacist-Endocrinologist Diabetes Intense Medical Management "Tune Up" Clinic in Complex Patients.
- Source :
-
The Annals of pharmacotherapy [Ann Pharmacother] 2016 Jan; Vol. 50 (1), pp. 8-16. Date of Electronic Publication: 2015 Nov 05. - Publication Year :
- 2016
-
Abstract
- Background: No previous studies exist examining the impact of a short-term pharmacist-endocrinologist collaborative practice model on glycemic control in complex patients.<br />Objective: Evaluate outcomes associated with a PharmD-Endocrinologist Diabetes Intense Medical Management (DIMM) "tune up" clinic for complex patients.<br />Methods: A retrospective cohort study of 99 patients referred to DIMM clinic versus a comparator group of 56 primary care provider (PCP) patients meeting the same criteria (adult type 2 diabetes patients, glycosylated hemoglobin [A1C] ≥ 8%, follow-up visit within 6 months) in a Veterans Affairs Medical Center. DIMM clinic used a short-term model that coupled personalized clinical care with real-time, patient-specific diabetes education during two to four 60-minute visits over 6 months. PCP patients received usual care. Primary outcome was mean A1C change after 6 months. Secondary measures included fasting blood glucose, lipids, blood pressure, weight, body mass index, and percentage of patients meeting goals.<br />Results: Patients in each group had an average of 8 and were taking 12 to 14 medications daily. Mean A1C (%) improvement in DIMM group was significantly greater at 6 months (-2.4 [SD = 2.1] vs -0.8 [SD = 1.7]; P < 0.001), than PCP group. Percentage meeting A1C goal levels (<7%, <8%, and <9%) was significantly greater at 3 and 6 months compared with baseline in the DIMM group (P < 0.001) versus (only <8%) at 3 and 6 months compared with baseline in PCP group.<br />Conclusions: The DIMM clinic "tune up" model demonstrates a successful collaborative practice which helped complex diabetes patients achieve glycemic control in a 6-month period.<br /> (© The Author(s) 2015.)
- Subjects :
- Aged
Ambulatory Care Facilities
Disease Management
Female
Glycated Hemoglobin analysis
Humans
Male
Middle Aged
Pharmacists
Physicians
Retrospective Studies
Diabetes Mellitus, Type 2 drug therapy
Patient Care Team organization & administration
Pharmaceutical Services organization & administration
Quality Assurance, Health Care
Subjects
Details
- Language :
- English
- ISSN :
- 1542-6270
- Volume :
- 50
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- The Annals of pharmacotherapy
- Publication Type :
- Academic Journal
- Accession number :
- 26546580
- Full Text :
- https://doi.org/10.1177/1060028015615586