Improved Patient-Reported Medication Adherence, Patient Satisfaction, and Glycemic Control in a Collaborative Care Pharmacist-Led Diabetes “Tune-Up” Clinic

Bibliographic Data

ID15466409
AuthorsJan D Hirsch (University of California, Irvine, corresponding author), Nancy Kong (0000-0002-2246-8363, San Francisco VA Health Care System), Kevin Nguyen (0000-0002-2445-7529), Kevin T Nguyen (0000-0002-0227-4975, University of California San Diego), Christine Cadiz (0000-0002-3009-5966, University of California, Irvine), Christine L Cadiz (Department of Clinical Pharmacy Practice, University of California Irvine School of Pharmacy and Pharmaceutical Sciences, Irvine, CA 92612, USA), Crystal Zhou (0000-0002-0763-0721, University of California, San Francisco), Sarah Bajorek (University of California, Davis), Sarah A Bajorek (Department of Pharmacy, University of California Davis Health, Sacramento, CA 95817, USA), Mark Bounthavong (0000-0002-7343-9458, University of Montana), Candis M Morello (0000-0001-6812-0234, University of Montana)
Year2021
Volume18
Issue17
Pages9242-9242
Publication date2021-09-01
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18179242
PMID34501837
OpenAlexW3198824358
LanguageEN
Citations received1
References cited17

Diabetes complications remain a leading cause of death, which may be due to poor glycemic control resulting from medication nonadherence. The relationship between adherence status and HbA1c (glycemic control) has not been well-studied for clinical pharmacist interventions. This study evaluated medication adherence, patient satisfaction, and HbA1c, in a collaborative pharmacist-endocrinologist diabetes clinic over 6 months. Of 127 referred, 83 patients met the inclusion criteria. Mean medication adherence scores, considered "good" at baseline, 1.4 ± 1.2, improved by 0.05 points ( p = 0.018), and there was a 26% increase in patients with good adherence. A significant improvement of 0.40 percentage points (95% CI: -0.47, -0.34) was observed in mean HbA1c across the three time points ( p p = 0.009). A multimodal personalized treatment approach from a pharmacist provider significantly and positively impacted glycemic control regardless of self-reported medication adherence, and patient satisfaction remained high despite changing to a clinical pharmacist provider and increased care intensity

Diabetes mellitus · Family medicine · Glycemic · Medical emergency · Medication adherence · Patient satisfaction · Pharmacist · Medication Adherence and Compliance · Medicine · Nursing · Pharmaceutical Practices and Patient Outcomes · Pharmaceutical studies and practices · Internal Medicine · Pharmacy

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