药剂师远程医疗服务在一个服务不足的城市人口与2型糖尿病
S Mimi Mukherjee1, Dana DelDotto2, Aesha Patel2
1Department of Pharmacy Practice, MCPHS, 19 Foster St., Worcester, MA, 01608, USA.
Research in social & administrative pharmacy : RSAP
|July 28, 2023
概括
药剂师在COVID-19期间有效地使用远程医疗来管理2型糖尿病. 这种方法改善了血红蛋白A1c水平和患者护理,当面对面访问有限时.
科学领域:
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
- 远程医疗远程医疗
背景情况:
- 由于COVID-19大流行,人们需要转向远程医疗,以进行全面的药物管理.
- 缺乏服务的2型糖尿病患者在城市联邦合格医疗保健中心接受护理.
- 临床药剂师从面对面转向基于电话的远程医疗服务.
研究的目的:
- 评估临床药剂师远程医疗在2型糖尿病管理中的有效性.
- 为了确定与远程医疗疗效率相关的患者特征.
- 评估远程医疗对血糖控制和医疗保健质量的影响.
主要方法:
- 追溯性,观察性队列研究设计.
- 包括没有控制的2型糖尿病 (血红蛋白A1c [HbA1c] ≥8%) 的患者.
- 通过患者接触,预约完成和HbA1c变化来衡量远程医疗的有效性.
主要成果:
- 患者参与度很高:95%的患者至少预约一次,预约约会的73%完成.
- 显著改善血糖:在5个月内,HbA1c的中位数从10.2%降至9.2%.
- 积极的干预结果:24.6%实现HbA1c<8%;干预措施对护理质量产生了有利影响.
结论:
- 临床药剂师远程医疗在为患者提供以患者为中心的糖尿病护理方面被证明是有效的.
- 远程医疗是一个可行的选择,用于管理2型糖尿病,当面对面的访问是不可行的.
- 这种模式提高了医疗保健质量,并改善了贫困人口的血糖控制.
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