Status of diabetes care among community pharmacy patients with diabetes: analysis of the Medical Expenditure Panel Survey.

摘要

OBJECTIVE: To determine the status of diabetes care among community pharmacy patients with diabetes. DESIGN: Cross-sectional observational study. SETTING: United States, 2005. PATIENTS: 1,455 community pharmacy patients aged 18 years or older with diabetes who were diagnosed before 2005.Intervention: Analysis of the Medical Expenditure Panel Survey. MAIN OUTCOME MEASURES: Proportions of patients meeting American Diabetes Association (ADA) standards of medical care in diabetes. RESULTS: In 2005, 1,455 patients with diabetes who were diagnosed before 2005 filled prescriptions through community pharmacies. Gaps occurred between the diabetes care of these patients and ADA standards. Examples include the following: ADA recommends at least two glycosylated hemoglobin (A1C) tests annually, but 19.52% of the study population reported less than two A1C tests in 2005; ADA recommends annual influenza vaccinations, but 42.46% of the study population reported not receiving an influenza vaccination in 2005; and ADA recommends weight control, but 83.74% of the study population was overweight or obese. CONCLUSION: The current results demonstrate that many patients with diabetes are not receiving adequate care and that pharmacists have an opportunity to improve diabetes management.