Status of diabetes care among community pharmacy patients with diabetes: Analysis of the Medical Expenditure Panel Survey
Junling Wang, PhD; Jeremy Thomas, PharmD; Debbie Byrd, PharmD; Kamala Nola, PharmD, MS; Jing Liu, MD, PhD
J Am Pharm Assoc (2003) 2010;50:478-484. doi:10.1331/JAPhA.2010.08173


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.

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