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Pharmacy diabetes care program: Analysis of two screening methods for undiagnosed type 2 diabetes in Australian community pharmacy
Citation
Krass, I and Mitchell, B and Clarke, P and Brillant, M and Dienaar, R and Hughes, J and Lau, P and Peterson, GM and Stewart, K and Taylor, S and Wilkinson, J and Armour, C, Pharmacy diabetes care program: Analysis of two screening methods for undiagnosed type 2 diabetes in Australian community pharmacy, Diabetes Research and Clinical Practice, 75, (3) pp. 339-347. ISSN 0168-8227 (2007) [Refereed Article]
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DOI: doi:10.1016/j.diabres.2006.06.022
Abstract
Objective: To compare the efficacy and cost-effectiveness of two methods of screening for undiagnosed type 2 diabetes in Australian community pharmacy.
Methods: A random sample of 30 pharmacies were allocated into two groups: (i) tick test only (TTO); or (ii) sequential screening (SS) method. Both methods used the same initial risk assessment for type 2 diabetes. Subjects with one or more risk factors in the TTO group were offered a referral to their general practitioner (GP). Under the SS method, patients with risk factors were offered a capillary blood glucose test and those identified as being at risk referred to a GP. The effectiveness and cost-effectiveness of these approaches was assessed.
Results: A total of 1286 people were screened over a period of 3 months. The rate of diagnosis of diabetes was significantly higher for SS compared with the TTO method (1.7% versus 0.2%; p = 0.008). The SS method resulted in fewer referrals to the GP and a higher uptake of referrals than the TTO method and so was the more cost-effective screening method.
Conclusions: SS is the superior method from a cost and efficacy perspective. It should be considered as the preferred option for screening by community based pharmacists in Australia.Item Details
| Item Type: | Refereed Article |
|---|---|
| Keywords: | near patient testing, case detection, Type 2 diabetes, community pharmacy, cost-effectiveness |
| Research Division: | Medical and Health Sciences |
| Research Group: | Pharmacology and Pharmaceutical Sciences |
| Research Field: | Pharmaceutical Sciences |
| Objective Division: | Health |
| Objective Group: | Other Health |
| Objective Field: | Health not elsewhere classified |
| Author: | Dienaar, R (Mrs Rachel Dienaar) |
| Author: | Peterson, GM (Professor Gregory Peterson) |
| ID Code: | 43190 |
| Year Published: | 2007 |
| Web of Science® Times Cited: | 28 |
| Deposited By: | Pharmacy |
| Deposited On: | 2007-08-01 |
| Last Modified: | 2012-12-13 |
| Downloads: | 4 View Download Statistics |
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