将门诊护理药剂师整合到基于价值的初级保健中:对慢性疾病的可扩展解决方案
Alexander J Blood1, Harry Saag1, Adam Chesler2
1Walgreen Co, Deerfield, IL, USA.
Journal of primary care & community health
|January 8, 2025
概括
临床药剂师在初级保健中改善了高血压和2型糖尿病控制. 这项研究表明,药剂师可以改善慢性疾病的管理,降低缩血压和血红蛋白A1c水平.
科学领域:
- 药理学 药理学是指药理学的学科.
- 初级医疗保健医学 一级医疗保健医学
- 慢性疾病管理 慢性疾病管理
背景情况:
- 初级保健提供者面临着越来越大的负担,越来越需要慢性疾病管理.
- 整合临床药剂师可以减轻提供者的工作负担并改善患者的治疗结果.
- 高血压 (HTN) 和2型糖尿病 (T2DM) 是普遍存在的慢性疾病,需要持续的医疗照顾.
研究的目的:
- 评估一个临床药剂师融入基于价值的初级保健网络对HTN和T2DM控制的影响.
- 评估关键临床标记物的改善,如血压和血红蛋白A1c.
主要方法:
- 采用了一个队列研究设计.
- 临床药剂师根据合作药物治疗管理协议,管理HTN和T2DM患者.
- 主要结局包括血红蛋白A1c,缩血压和腹缩血压的变化.
主要成果:
- 高血压队列 (n=43) 显示了缩血压的统计显著降低 (-10.2 mmHg,P<.01).
- 2型糖尿病患者队列 (n=125) 显示血红蛋白A1c显著降低 (-1.16%,P<.001).
- 在HTN组中,扩张性血压变化没有统计学意义 (P=.42).
结论:
- 在以价值为基础的初级保健环境中,药剂师的整合可以显著改善静缩血压和血红蛋白A1c控制.
- 该模型显示了增强慢性疾病管理的潜力,可能降低相关的发病率和死亡率.
- 临床药剂师是管理复杂慢性疾病的初级保健团队的宝贵成员.
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