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The pharmacy diabetes care program: assessment of a community pharmacy diabetes service model in Australia

Citation

Krass, I and Armour, CL and Mitchell, B and Brillant, M and Dienaar, R and Hughes, J and Lau, P and Peterson, GM and Stewart, K and Taylor, S and Wilkinson, J, The pharmacy diabetes care program: assessment of a community pharmacy diabetes service model in Australia, Diabetic Medicine, 24, (6) pp. 677-683. ISSN 0742-3071 (2007) [Refereed Article]


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The definitive published version is available online at: http://onlinelibrary.wiley.com/

Official URL: http://onlinelibrary.wiley.com/

DOI: doi:10.1111/j.1464-5491.2007.02143.x

Abstract

Aim To assess the impact of a community pharmacy diabetes service model on patient outcomes in Type 2 diabetes. Methods The study utilized a multisite, control vs. intervention, repeated-measures design within four states in Australia. Fifty-six community pharmacies, 28 intervention and 28 control, were randomly selected from a representative sample of urban and rural areas. Intervention pharmacies delivered a diabetes service to patients with Type 2 diabetes, which comprised an ongoing cycle of assessment, management and review, provided at regular intervals over 6 months in the pharmacy. These services included support for self monitoring of blood glucose, education, adherence support, and reminders of checks for diabetes complications. Control pharmacists assessed patients at 0 and 6 months and delivered no intervention. Results A total of 289 subjects (149 intervention and 140 control) completed the study. For the intervention subjects, the mean blood glucose level decreased over the 6-month study from 9.4 to 8.5 mmol/l (P < 0.01). Furthermore, significantly greater improvements in glycaemic control were seen in the intervention group compared with the control: the mean reduction in HbA1c in the intervention group was −0.97% (95% CI: −0.8, −1.14) compared with −0.27% (95% CI: −0.15, −0.39) in the control group. Improvements were also seen in blood pressure control and quality of life in the intervention group. Conclusion A pharmacy diabetes service model resulted in significant improvements in clinical and humanistic outcomes. Thus, community pharmacists can contribute significantly to improving care and health outcomes for patients with Type 2 diabetes. Future research should focus on clarifying the most effective elements of the service model.

Item Details

Item Type:Refereed Article
Keywords:community pharmacy;health-care delivery;management;Type 2 diabetes
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:44568
Year Published:2007
Web of Science® Times Cited:76
Deposited By:Pharmacy
Deposited On:2007-08-01
Last Modified:2011-04-20
Downloads:6 View Download Statistics

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