The impact of pharmaceutical care on improving outcomes in patients with type 2 diabetes mellitus from China: a pre- and postintervention study

Xin, Chuanwei; Ge, Xing; Yang, Xiuli; Lin, Mingkai; Jiang, Cheng; Xia, Zhongni

doi:10.1007/s11096-014-9978-x

Cited by 16 publications

(28 citation statements)

References 14 publications

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“…3 Studies have shown that hospital pharmaceutical care had great value in clinical and economic aspects. In a diabetes management team, participation of clinical pharmacists led to the reduction of hemoglobin, cholesterol and blood pressure in patients as well as the significantly lower cost of medication for each patient 4 . A study showed the implementation of antifungal practice guidelines by a clinical pharmacist, member of an ICU team, resulted in a 50% cost reduction in expenditure on antifungal agents 5 .…”

Section: Introductionmentioning

confidence: 99%

Clinical and economic outcomes of hospital pharmaceutical care: A systematic review and meta-analysis

Lin

Huang

Zhang

et al. 2020

Preprint

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Background: Hospital clinical pharmacists have been working in many countries for many years and clinical pharmaceutical care have a positive effect on the recovery of patients. In order to evaluate the clinical effectiveness and economic outcomes of clinical pharmaceutical care, relevant clinical trial studies were reviewed and analysed. Methods: Two researchers searched literatures published from January 1992 to October 2019, and screened them by keywords like pharmaceutical care, pharmaceutical services, pharmacist interventions, outcomes, effects, impact, etc. Then, duplicate literatures were removed and the titles, abstracts and texts were read to screen literatures according to inclusion and exclusion criteria. Key data in the literature were extracted, and Meta-analysis was conducted using the literature with common outcome indicators.Results: A total of 3299 articles were retrieved, and 42 studies were finally included. Twelve of them were used for meta-analysis. Among the 42 studies included, the main results of pharmaceutical care showed positive effects, 36 experimental groups were significantly better than the control group, and the remaining 6 studies showed mixed or no effects. Meta-analysis showed that clinical pharmacists had significant effects on reducing systolic blood pressure and diastolic blood pressure and shortening hospitalization days (P<0.05), but no statistical significance in reducing medical costs (P>0.05).Conclusion: clinical pharmacists' pharmaceutical care has a significant positive effect on patients' clinical effects, but has no significant economic effect.

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Section: Introductionmentioning

confidence: 99%

Clinical and economic outcomes of hospital pharmaceutical care: A systematic review and meta-analysis

Lin

Huang

Zhang

et al. 2020

Preprint

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“…erefore, five of the ten items were negatively worded [4,6,7,9,10] and the remaining five were positively worded.…”

Section: Data Collection Instrument Andmentioning

confidence: 99%

“…An adequate pharmaceutical service provided by the pharmacist is a vital component of the health care delivery system. Moreover, studies have reported that the implementation of PC in hospital and community settings improves patients' health outcomes, reduces hospital stay, improves medication adherence, and reduces health care costs [4][5][6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Knowledge and Attitude among Pharmacists toward Pharmaceutical Care in Eastern Ethiopia

Mishore

Mekuria

Tola

et al. 2020

BioMed Research International

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Objective. To assess knowledge and attitudes toward pharmaceutical care service among hospital and community pharmacists working in Harar and Dire Dawa town, Eastern Ethiopia. Method. A descriptive cross-sectional study was conducted among pharmacists working in hospital and community pharmacies, 2018. A total of 43 health settings (6 hospital and 37 community pharmacies) were involved in this study. All pharmacists who met the inclusion criteria were selected using a purposive sampling technique to take part in the study. The pretested structured self-administered questionnaires were used to collect data. The collected data was coded, entered, and analyzed using Statistical Package for Social Sciences (SPSS) version 21.0. The findings were presented by frequencies and percentages, and summary measures were displayed using tables. Chi-Square test and Fisher’s exact test were performed to determine the association between sociodemographic characteristics and the level of knowledge and attitude about pharmaceutical care. The study protocol was approved by the Harar Health Sciences College Research Ethics Review Committee. Results. A total of seventy-eight pharmacists were included in the study with a response rate of 97.5%. The mean age (±Standard Deviation (SD)) of the study participants was 32.47 ± 7.42 years, and the majority (88.3%) of the respondents were males. 56.4% of the respondents were working in the hospitals while 43.6% were working in community pharmacy. Overall, 85.9% of the respondents had good knowledge of pharmaceutical care. The types of training curriculum of the participants showed an association with the attitude of pharmacists (P value = 0.022). Similarly, pharmacists’ knowledge was associated with their practice setting (P value = 0.008). Conclusion. The majority of pharmacists are knowledgeable about PC. However, nearly half of the pharmacists had an unfavorable attitude toward pharmaceutical care. Harari Regional and Dire Dawa City Health Bureaus should organize and provide in-service training on pharmaceutical care to pharmacists working in community and hospital pharmacies. Furthermore, the bureaus should advocate pharmaceutical care as one area in a continuous professional development program.

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“…Illustrated that, a pharmacist evolved in the diabetes management team resulted a significant reduction in A1c, cholesterol and BP in patients versus a usual health care. 63 Another one-year retrospective chart review study was conducted. Pharmacists intervened had significantly decreased A1c, SBP and LDL in diabetic patients who were not at goal at baseline.…”

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confidence: 99%

“…91 In addition, pharmacist as a part of diabetes management team resulted the drug cost per patient day meaningfully decreased from. 63 …”

mentioning

confidence: 99%

The Current Scenario of Clinical Pharmacy Service in the Management of Patients with Diabetes Mellitus and Related Complications: Review Article

Demoz¹,

Gebremariam²,

Legesse³

2018

IJOPP

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Diabetes Mellitus (DM) is a group of metabolic disorder characterized by defect in insulin secretion, insulin action or both. The prevalence of diabetes continues to rise worldwide, placed in an increasing burden on healthcare systems and for the individual payers. This review is aimed to organize and examines the contribution of pharmacist in people living with diabetes mellitus and reviewed to whether the extent of diabetes management interventions delivered by pharmacist is successful in achieving the goal of therapy in DM patients. Many studies revealed and confirmed that the positive impacts of pharmacists intervention on monitoring of blood glucose level, blood pressure, lipid profiles, body mass indexes, diabetes related complications, economic benefits, improving health related quality of life, drug-related problems, adherence to medication, provision of patient education and counseling services, medication therapy management services and other pharmaceutical care services that enhance the clinical outcomes in diabetes patients were better than the usual care services. In all cases, it was proven that the intervention was successful in achieving the goals of therapy in diabetes patients and reducing other complications associated with the disease. Therefore, pharmacist integration into a health care team had shown to be effective in improving a number of clinical health outcomes in diabetic patients. This may be helpful to realize the current progress of pharmacist'srole in people living with diabetes and associated complications.

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The impact of pharmaceutical care on improving outcomes in patients with type 2 diabetes mellitus from China: a pre- and postintervention study

Abstract: Including a pharmacist as a part of the diabetes management team may result in lower A1C, cholesterol and blood pressure in patients versus a health care.

Cited by 16 publications

References 14 publications

Clinical and economic outcomes of hospital pharmaceutical care: A systematic review and meta-analysis

Clinical and economic outcomes of hospital pharmaceutical care: A systematic review and meta-analysis

Assessment of Knowledge and Attitude among Pharmacists toward Pharmaceutical Care in Eastern Ethiopia

The Current Scenario of Clinical Pharmacy Service in the Management of Patients with Diabetes Mellitus and Related Complications: Review Article

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