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

Author

Listed:
  • Jan D. Hirsch

    (Department of Clinical Pharmacy Practice, University of California Irvine School of Pharmacy and Pharmaceutical Sciences, Irvine, CA 92612, USA)

  • Nancy Kong

    (Department of Pharmacy, San Francisco Veterans Affairs Health Care System, San Francisco, CA 94121, USA)

  • Kevin T. Nguyen

    (Department of Pharmacy, University of California San Diego Health, San Diego, CA 92103, USA)

  • Christine L. Cadiz

    (Department of Clinical Pharmacy Practice, University of California Irvine School of Pharmacy and Pharmaceutical Sciences, Irvine, CA 92612, USA)

  • Crystal Zhou

    (Department of Clinical Pharmacy, University of California at San Francisco School of Pharmacy, San Francisco, CA 94143, USA)

  • Sarah A. Bajorek

    (Department of Pharmacy, University of California Davis Health, Sacramento, CA 95817, USA)

  • Mark Bounthavong

    (Pharmacy Benefits Management Academic Detailing Service, U.S. Department of Veterans Affairs, San Diego, CA 92161, USA
    Division of Clinical Pharmacy, University of California San Diego Skaggs School of Pharmacy and Pharmaceutical Sciences, La Jolla, CA 92093, USA)

  • Candis M. Morello

    (Division of Clinical Pharmacy, University of California San Diego Skaggs School of Pharmacy and Pharmaceutical Sciences, La Jolla, CA 92093, USA
    Department of Pharmacy, Veterans Affairs San Diego Healthcare System, San Diego, CA 92161, USA)

Abstract

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 < 0.001). Mean total satisfaction scores were high and increased, with mean 91.3 ± 12.2 at baseline, 94.7 ± 9.6 at 3 months, and 95.7 ± 10.8 at 6 months ( 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.

Suggested Citation

  • Jan D. Hirsch & Nancy Kong & Kevin T. Nguyen & Christine L. Cadiz & Crystal Zhou & Sarah A. Bajorek & Mark Bounthavong & Candis M. Morello, 2021. "Improved Patient-Reported Medication Adherence, Patient Satisfaction, and Glycemic Control in a Collaborative Care Pharmacist-Led Diabetes “Tune-Up” Clinic," IJERPH, MDPI, vol. 18(17), pages 1-10, September.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:17:p:9242-:d:627402
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    References listed on IDEAS

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    1. M. Shawn McFarland & Juliet Wallace & Jessica Parra & Jennifer Baker, 2014. "Evaluation of Patient Satisfaction with Diabetes Management Provided by Clinical Pharmacists in the Patient-Centered Medical Home," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 7(1), pages 115-121, March.
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    Cited by:

    1. Nemanja Isajev & Vesna Bjegovic-Mikanovic & Zoran Bukumiric & David Vrhovac & Nebojsa M. Lalic, 2022. "Predictors of Clinical Inertia and Type 2 Diabetes: Assessment of Primary Care Physicians and Their Patients," IJERPH, MDPI, vol. 19(8), pages 1-18, April.

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