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首页> 外文期刊>Journal of pharmacy practice >Utilizing Clinical Pharmacy Specialists to Address Access to Care Barriers in the Veteran Population for the Management of Diabetes
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Utilizing Clinical Pharmacy Specialists to Address Access to Care Barriers in the Veteran Population for the Management of Diabetes

机译：利用临床药房专家来处理资深人口的护理障碍，以便管理糖尿病

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Objective: To show that clinical pharmacy specialists (CPSs) can be utilized in remote facilities to provide appropriate diabetes outcomes along with potential cost savings. Methods: A retrospective cohort chart review conducted at the Veterans Affairs North Texas Healthcare System (VANTHCS) evaluated outcomes in patients with type 2 diabetes mellitus referred to CPSs at Fort Worth Outpatient Clinic (FWOPC) or the endocrinologist-managed specialty clinic at the Dallas VA Medical Center (DVAMC). The primary outcome was percentage of patients reaching hemoglobin A1c (HbA1c) goal of <8%. Secondary outcomes were percentage of patients reaching HbA1c <7%, time to reach HbA1c goals of <8% and <7%, and cost savings. Results: There was no statistically significant difference in the number of patients reaching HbA1c goal <8% in the FWOPC (65.3%) compared to the DVAMC (55.8%). Secondary end points comparing FWOPC and DVAMC found no difference in patients reaching HbA1c <7% (20.8% vs 19.2%) and time to reach HbA1c goal of <8% (4.5 vs 6 months) and <7% (8.5 vs 7.5 months). Cost-saving analysis demonstrated a composite of US$350 292 could be saved by the VANTHCS facility if patients continued to be referred to CPS. Conclusion: CPSs can be utilized in diabetes management to provide similar health outcomes as the endocrinologist-managed clinic and to potentially allow for facility cost savings.
机译：目的：展示临床药房专家（CPS）可用于远程设施，以提供适当的糖尿病结果以及潜在的成本节约。方法：在退伍军人事务北德克萨斯州北德克萨斯州医疗保健系统（VANTHCS）患有2型糖尿病患者的结果的回顾性队列审查评估了沃思堡堡垒门诊诊所（FWOPC）或内分泌学家管理专业诊所的CPS患者医疗中心（DVAMC）。主要结果是达到血红蛋白A1C（HBA1C）目标<8％的患者的百分比。二次结果是达到HBA1C <7％的患者的百分比，达到<8％和<7％的HBA1C目标，以及节省成本。结果：与DVAMC相比，在FWOPC（65.3％）中达到HBA1C目标<8％的患者数量没有统计学意义差异。比较FWOPC和DVAMC的辅助端点没有发现达到HBA1C的患者的差异<7％（20.8％vs19.2％）和达到HBA1c目标<8％（4.5 vs 6个月）和<7％（8.5 Vs 7.5个月） 。节省成本分析显示，如果患者继续称为CPS，Vanthcs设施可以保存350美元292美元的综合。结论：CPSS可用于糖尿病管理，以提供与内分泌学家管理的诊所相似的健康结果，并可能允许节省成本。

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