PMID- 24953287
OWN - NLM
STAT- MEDLINE
DCOM- 20151125
LR  - 20150226
IS  - 1365-2753 (Electronic)
IS  - 1356-1294 (Linking)
VI  - 21
IP  - 1
DP  - 2015 Feb
TI  - Effectiveness of involving pharmacists in the process of ambulatory health care 
      to improve drug treatment adherence and disease control.
PG  - 7-12
LID - 10.1111/jep.12207 [doi]
AB  - RATIONALE, AIMS AND OBJECTIVES: To evaluate the effectiveness of incorporating 
      the pharmacist into the ambulatory health care team to increase the proportion of 
      patients with type 2 diabetes mellitus (T2DM) and/or hypertension who adhere to 
      their drug regimen and to improve disease control. METHODS: A non-randomized 
      clinical trial was carried out in patients with T2DM and/or hypertension from two 
      primary care clinics. Patients from one of the clinics comprised the intervention 
      group (IG) who received 'counselling' from the pharmacist. The control group (CG) 
      was comprised of patients who attended another clinic and received the usual 
      care. Adherence was measured by counting pills; hypertension control was 
      evaluated by blood pressure and diabetes control by blood glucose. Statistical 
      analysis was carried out by intention to treat using generalized linear models. 
      RESULTS: There were 440 patients included. There was no difference in the 
      proportion of IG and CG patients who adhered to treatment according to baseline 
      measurements. An increase in the proportion of adherence at baseline and final 
      determination was observed in both groups (IG 71-80%, P=0.006 and CG 72-87%, 
      P=0.000). Generalized linear models showed a 55% or higher probability of IG 
      patients achieving control of hypertension in comparison with the CG. Patients 
      from the IG with T2DM have 13% more possibility of achieving glycaemic control 
      than those of the CG. CONCLUSION: Counselling offered by the pharmacist proved to 
      be effective for improving drug adherence of diabetic and hypertensive patients 
      in ambulatory health care.
CI  - (c) 2014 John Wiley & Sons, Ltd.
FAU - Mino-Leon, Dolores
AU  - Mino-Leon D
AD  - National Institute of Geriatrics, Ministry of Health, Mexico City, Mexico.
FAU - Reyes-Morales, Hortensia
AU  - Reyes-Morales H
FAU - Flores-Hernandez, Sergio
AU  - Flores-Hernandez S
LA  - eng
SI  - GENBANK/CD000011
SI  - GENBANK/CD000336
PT  - Clinical Trial
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20140621
PL  - England
TA  - J Eval Clin Pract
JT  - Journal of evaluation in clinical practice
JID - 9609066
RN  - 0 (Blood Glucose)
SB  - IM
MH  - Aged
MH  - Ambulatory Care/*organization & administration
MH  - Blood Glucose
MH  - Blood Pressure
MH  - Counseling/organization & administration
MH  - Diabetes Mellitus, Type 2/drug therapy
MH  - Female
MH  - Humans
MH  - Hypertension/drug therapy
MH  - Male
MH  - *Medication Adherence
MH  - Middle Aged
MH  - Molecular Sequence Data
MH  - Patient Care Team/*organization & administration
MH  - *Pharmacists
MH  - Self Care
OTO - NOTNLM
OT  - adherence
OT  - diabetes mellitus
OT  - disease control
OT  - hypertension
OT  - pharmacist
OT  - primary care
EDAT- 2014/06/24 06:00
MHDA- 2015/12/15 06:00
CRDT- 2014/06/24 06:00
PHST- 2014/05/16 00:00 [accepted]
PHST- 2014/06/24 06:00 [entrez]
PHST- 2014/06/24 06:00 [pubmed]
PHST- 2015/12/15 06:00 [medline]
AID - 10.1111/jep.12207 [doi]
PST - ppublish
SO  - J Eval Clin Pract. 2015 Feb;21(1):7-12. doi: 10.1111/jep.12207. Epub 2014 Jun 21.