Implementation and evaluation of a pharmacist-led electronic visit program for diabetes and anticoagulation care in a patient-centered medical home
| Autor: | Mark Gwynne, Alfred Reid, Gretchen Tong, Erika Lambert, Emily M. Hawes |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Medical home
Adult Male Telemedicine medicine.medical_specialty Pharmacist Telehealth 030204 cardiovascular system & hematology Pharmacists 03 medical and health sciences 0302 clinical medicine Patient satisfaction Professional Role Diabetes management Diabetes mellitus Patient-Centered Care medicine Diabetes Mellitus Humans 030212 general & internal medicine Program Development Retrospective Studies Pharmacology business.industry Health Policy Warfarin Anticoagulants Middle Aged medicine.disease Patient Care Management Emergency medicine Female Drug Monitoring business medicine.drug |
| Zdroj: | American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists. 75(12) |
| ISSN: | 1535-2900 |
| Popis: | Purpose Results of a study evaluating quality-of-care, financial, and patient satisfaction outcomes of pharmacist-conducted telehealth visits for diabetes management and warfarin monitoring are reported. Methods A retrospective pre–post study was conducted to determine the impact of an electronic visit (e-visit) program targeting 2 groups of outpatients: adults with uncontrolled diabetes and warfarin-treated adults performing patient self-testing (PST) for monitoring of International Normalized Ratio (INR) values. Results A total of 36 patients participated in the e-visit program during the 2-year study period. Among warfarin-treated patients, the percentage of INR values in the desired range increased relative to preenrollment values (from 62.5% to 72.7%, p = 0.07), and the frequency of extreme INR values (values of 5.0) decreased (from 4.8% to 0.01%, p = 0.01); the margin per patient was $300 during the first year and $191 annually thereafter. In the diabetes group, a decrease from baseline in glycosylated hemoglobin values of 3.4 percentage points was observed at 5.7 months after enrollment ( p Conclusion An online e-visit model for warfarin monitoring was an efficient, safe, and cost-effective method for implementing PST. Pharmacist-led management of diabetes through e-visits, often in combination with in-person visits, generated revenue while significantly improving clinical outcomes. |
| Databáze: | OpenAIRE |
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