title: Evaluation of patient satisfaction with diabetes management provided by clinical pharmacists in the patient-centered medical home.
abstract: OBJECTIVE
  The patient-centered medical home (PCMH) model is a multidisciplinary, team-based approach to healthcare that focuses on actively involving the patient in clinical decision making. Multiple studies have demonstrated improved clinical outcomes from utilizing clinical pharmacists in the primary care setting, particularly in management of diabetes. No study has evaluated patient satisfaction with pharmacist in the PCMH model. Our objective was to evaluate patient satisfaction of care received in pharmacist-managed primary care clinics among patients with diabetes mellitus within the PCMH.
  
  
  METHODS
  This study was a single-center, cross-sectional analysis of patients who were seen by a clinical pharmacy specialist (CPS).
  
  
  METHODS
  The setting for this study was eight outpatient primary care clinics within a Veterans Affairs healthcare system where diabetes management services were provided by eight CPSs.
  
  
  METHODS
  A total of 1,468 patients with a hemoglobin A1c >7.0 % who were seen in clinic by a CPS at the primary care clinics between 1 October 2008 and 1 April 2012 were mailed the Modified Diabetes Disease State Management Questionnaire (DDSM-QM). The DDSM-QM was a 15-item questionnaire that assessed overall patient satisfaction with pharmacist care, as well as patient satisfaction within three major domains: 'service,' 'self-management,' and 'knowledge'.
  
  
  RESULTS
  A response rate of 42.7 % was attained, with 627 patients consenting to participate by completing and returning the self-administered questionnaire. The mean overall satisfaction score was 90.6 ± 10.6 % (mean ± standard deviation). Mean percentage scores within the 'service,' 'knowledge,' and 'self-management' domains were 92.0 ± 10.8, 89.7 ± 11.3, and 89.2 ± 12.0 %, respectively.
  
  
  CONCLUSIONS
  Patients with diabetes seen by a CPS within the PCMH model were very satisfied with the care they received overall.
authors.affiliation: Pharmacy Service, Department of Veterans Affairs Medical Center, Nashville, TN, USA, michael.mcfarland2@va.gov.
authors.forename: M
authors.initials: M
authors.lastname: Shawn McFarland
authors.forename: Juliet P
authors.initials: JP
authors.lastname: Wallace
authors.forename: Jessica
authors.initials: J
authors.lastname: Parra
authors.forename: Jennifer
authors.initials: J
authors.lastname: Baker
mesh_terms: D000368:Aged; D003920:Diabetes Mellitus / Q000628:therapy*; D019468:Disease Management; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D018802:Patient-Centered Care; D010595:Pharmacists; D014481:United States; D014493:United States Department of Veterans Affairs