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药剂师领导的糖尿病管理在初级保健诊所的成本效益分析
Cynthia A King1, Benjamin S King1, Tara Nagaraj1
1MetroHealth System, Cleveland OH.
Innovations in pharmacy
|November 1, 2024
概括
门诊护理药剂师 (ACP) 显著改善了糖尿病管理,与常规护理相比,HbA1c降低了2.5%. 这种具有成本效益的方法显示了未来医疗保健节省和改善患者治疗结果的希望.
科学领域:
- 卫生经济学 卫生经济学
- 临床药房实践 临床药房实践
- 糖尿病管理 糖尿病管理
背景情况:
- 门诊护理药剂师 (ACP) 提高患者的治疗结果,管理慢性疾病.
- 非洲和非洲国家 (ACP) 服务的财务可持续性需要证明成本效益.
- 糖尿病管理是药剂师干预的关键领域.
研究的目的:
- 确定利用非洲和非洲国家 (ACP) 进行糖尿病管理的成本效益.
- 评估与初级保健医生 (PCP) 管理相比,ACP领导的DM护理的临床影响.
- 评估在学术卫生系统中ACP服务的财务可行性.
主要方法:
- 在406名DM患者 (HbA1c ≥8%) 的准实验,回顾性队列研究中.
- 在ACP参与的护理团队和PCP (有或没有内分泌学家) 提供的通常护理之间的比较.
- 增量成本效益比率 (ICER) 的计算,用于以非洲和非洲国家为首的DM管理.
主要成果:
- 在ACP领导的管理中,HbA1c的变化为-2.5%,而PCP组的变化为+1.08% (p<0.001).
- 每个患者每年每1%的HbA1c降低成本为126美元;将患者移至HbA1c<9%的成本为612美元.
- 亚洲和非洲国家和地区 (ACP) 组在HbA1c<9%和他类药物处方方面实现了75%的目标,超过了PCP组仅使用他类药物的指标.
结论:
- 非洲和非洲国家显著改善了DM管理中的临床结果,而前期成本极小.
- 通过减少并发症和实现质量指标,ACP服务显示了未来成本节约的潜力.
- 由非洲和非洲国家领导的护理是改善糖尿病控制和实现质量目标的成本效益高的策略.
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