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Article

Assessment of Glycosylated Hemoglobin Outcomes Following an Enhanced Medication Therapy Management Service via Telehealth

1
Tabula Rasa HealthCare, Tucson, AZ 85701, USA
2
College of Pharmacy, University of Arizona, Tucson, AZ 85721, USA
3
Tabula Rasa HealthCare, Precision Pharmacotherapy Research and Development Institute, Orlando, FL 32827, USA
4
Faculty of Pharmacy, Université de Montréal, Montreal, QC H3C 3J7, Canada
*
Author to whom correspondence should be addressed.
Academic Editors: Irene Torres-Sanchez and Marie Carmen Valenza
Int. J. Environ. Res. Public Health 2021, 18(12), 6560; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18126560
Received: 19 May 2021 / Revised: 15 June 2021 / Accepted: 17 June 2021 / Published: 18 June 2021
(This article belongs to the Special Issue eHealth in Chronic Diseases)
(1) Background: Regular contact with a medication therapy management (MTM) pharmacist is shown to improve patients’ understanding of their condition; however, continued demonstration of the value of a pharmacist delivered comprehensive medication review (CMR) using enhanced MTM services via telehealth is needed. The study aimed to describe a pilot program designed to improve type 2 diabetes mellitus (T2DM) management through enhanced condition specific MTM services. (2) Methods: This retrospective study included patients with T2DM aged 40–75 years who received a pharmacist-delivered CMR between January and December 2018. An evaluation of glycosylated hemoglobin (HbA1c) values 3 months pre- and post-CMR was performed. Wilcoxon signed-rank and chi-square tests were used. (3) Results: Of 444 eligible patients, a majority were female (58%) with a median age of 70 years. Median HbA1c values post-CMR were lower than pre-CMR (median 7.1% range 4.5–13.6; median 7.4% range 4.5–13.9, respectively; p = 0.009). There were fewer participants with HbA1c >9% post-CMR (n = 66) than pre-CMR (n = 80; p < 0.001) and more with HbA1C <6.5% post-CMR (n = 151) than pre-CMR (n = 130; p < 0.001). (4) Conclusion: This program evaluation highlighted the value of an enhanced condition specific MTM service via telehealth. Patients had improved HbA1c values three months after receiving a single pharmacist delivered CMR. View Full-Text
Keywords: type 2 diabetes; pharmacist; glycosylated hemoglobin; medication therapy management; comprehensive medication review; telehealth; T2DM type 2 diabetes; pharmacist; glycosylated hemoglobin; medication therapy management; comprehensive medication review; telehealth; T2DM
MDPI and ACS Style

Bingham, J.M.; Stanislaw, J.; Warholak, T.; Scovis, N.; Axon, D.R.; Turgeon, J.; Marupuru, S. Assessment of Glycosylated Hemoglobin Outcomes Following an Enhanced Medication Therapy Management Service via Telehealth. Int. J. Environ. Res. Public Health 2021, 18, 6560. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18126560

AMA Style

Bingham JM, Stanislaw J, Warholak T, Scovis N, Axon DR, Turgeon J, Marupuru S. Assessment of Glycosylated Hemoglobin Outcomes Following an Enhanced Medication Therapy Management Service via Telehealth. International Journal of Environmental Research and Public Health. 2021; 18(12):6560. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18126560

Chicago/Turabian Style

Bingham, Jennifer M., Jennifer Stanislaw, Terri Warholak, Nicole Scovis, David R. Axon, Jacques Turgeon, and Srujitha Marupuru. 2021. "Assessment of Glycosylated Hemoglobin Outcomes Following an Enhanced Medication Therapy Management Service via Telehealth" International Journal of Environmental Research and Public Health 18, no. 12: 6560. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18126560

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