A pharmacist visit improves diabetes standards in a patient-centered medical home (PCMH).
Many patients with diabetes do not receive recommended standards of care. Diabetes patients were seen by a pharmacist in a diabetes assessment service (DAS) 1 week prior to a physician appointment to complete diabetes standards. Completion rates of American Diabetes Association (ADA) standards were compared between patients of 5 physicians offered the DAS intervention and a concurrent cohort of randomly selected patients of nonparticipating physicians. A total of 94 patients were seen by DAS; 210 patients comprised the controls. DAS patients had a significantly higher proportion of each standard completed (glycosylated hemoglobin, lipids, foot exam, eye referral, pneumococcal and influenza vaccination, and urine microalbumin) compared with the control group (P < .001). An average of 3.3 ± 1.8 diabetes standards per patient were completed. A planned visit with a pharmacist prior to a physician appointment, with the goal of completing ADA standards of care, was feasible and effective in this university-based family medicine center.
University of Oklahoma Health Sciences Center, Oklahoma City, OK 73126-5040, USA.
Heather D
HD
Edwards
Ryan D
RD
Webb
Dewey C
DC
Scheid
Mark L
ML
Britton
Becky L
BL
Armor
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003920:Diabetes Mellitus / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team / Q000458:organization & administration; D018802:Patient-Centered Care / Q000379:methods / Q000458:organization & administration*; D010595:Pharmacists; D019984:Quality Indicators, Health Care; D011787:Quality of Health Care / Q000458:organization & administration; D000078329:Workforce; D055815:Young Adult