Researchers examined whether pharmacist-led interventions improved adherence to medications and guideline-concordant care based on changes in hemoglobin A1C (HbA1C) levels and systolic blood pressure among Hispanic type 2 diabetes patients.
By Dr. Chinta SidharthanOct 3 2023Reviewed by Danielle Ellis, B.Sc. In a recent study published in the journal JAMA Network Open, researchers examined whether pharmacist-led interventions improved adherence to medications and guideline-concordant care based on changes in hemoglobin A1C levels and systolic blood pressure among Hispanic type 2 diabetes patients.
The UCMyRx initiative was set up by the University of California, Los Angeles in 38 primary care clinics and involves clinical pharmacists trained in primary care practices and motivational interviewing, helping primary care physicians manage patients. For this study, the researchers obtained the electronic health records of all participants in the usual care and exposure groups, which provided data on demographic factors, medical encounter types, vital signs, diagnoses, results from laboratory tests, prescribed medications, and variables related to health insurance coverage.
The exposure group for the systolic blood pressure analysis was similarly restricted to individuals with a systolic blood pressure of 140 mm Hg or more before the clinic visit and subsequent measurement of systolic blood pressure in the following four to 12 months. The primary measured outcomes were index changes in the levels of HbA1C and systolic blood pressure pre- and post-UMyRx clinic visits.
The study reported that even one face-to-face interaction with a clinical pharmacist at the UMyRx clinic was associated with decreases in HbA1C levels that were statistically significant. However, the systolic blood pressure analysis did not report similar improvements.
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