Using an Advanced Practice Pharmacist in a Team-Based Care Model to Decrease Time to Hemoglobin A1c Goal Among Patients With Type 2 Diabetes, Florida, 2017-2019

Prev Chronic Dis. 2020 Jun 4:17:E40. doi: 10.5888/pcd17.190377.

Abstract

Collaborative practice models that use an advanced practice pharmacist (APP) have been shown to improve outcomes for patients with chronic diseases. Few studies have evaluated the effects of team-based practice models involving an APP for time needed to attain glycated hemoglobin A1c (HbA1c) goals in patients with diabetes mellitus (type 2 diabetes). Ours is a retrospective cohort study, involving patients with type 2 diabetes who worked with a pharmacist in an academic family medicine clinic. These patients experienced a shorter time to achieve an HbA1c of less than 7%, as compared with patients who did not work with a pharmacist. Future studies should evaluate the length of time patients can sustain an HbA1c of less than 7% with team-based care involving an APP and the influence of such care on diabetes-related complications.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Diabetes Mellitus, Type 2 / therapy*
  • Female
  • Florida
  • Glycated Hemoglobin / analysis
  • Humans
  • Male
  • Middle Aged
  • Patient Care Team / organization & administration*
  • Patient Participation / statistics & numerical data*
  • Pharmacists*
  • Primary Health Care / organization & administration
  • Retrospective Studies

Substances

  • Glycated Hemoglobin A