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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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 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 Group:||Other Health|
|Objective Field:||Health not elsewhere classified|
|Author:||Dienaar, R (Mrs Rachel Dienaar)|
|Author:||Peterson, GM (Professor Gregory Peterson)|
|Web of Science® Times Cited:||28|
|Downloads:||4 View Download Statistics|
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