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

Jan D. Hirsch, Nancy Kong, Kevin T. Nguyen, Christine L. Cadiz, Crystal Zhou, Sarah A. Bajorek, Mark Bounthavong and Candis M. Morello
Additional contact information
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
Candis M. Morello: Division of Clinical Pharmacy, University of California San Diego Skaggs School of Pharmacy and Pharmaceutical Sciences, La Jolla, CA 92093, USA

IJERPH, 2021, vol. 18, issue 17, 1-10

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.

Keywords: medication adherence; diabetes; pharmacist–patient relations; patient satisfaction; pharmacist; glycemic control; collaborative care (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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