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Text
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URL Address
<a href="http://doi.org/10.1177/8755122518818826" target="_blank" rel="noreferrer noopener">http://doi.org/10.1177/8755122518818826</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
56-63
Issue
2
Volume
35
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Title
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The Effect of Pharmacy-Led, Small-Group Academic Detailing on Prescribing Patterns in an Ambulatory Care Clinic.
Publisher
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Journal of Pharmacy Technology
Date
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2019
2019-04
Subject
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Adrenergic Beta-Antagonists -- Therapeutic Use; Adult; Ambulatory Care Facilities; Chi Square Test; Descriptive Statistics; Diabetes Mellitus; Education; Essential Hypertension -- Drug Therapy; Fisher's Exact Test; Human; Hyperlipidemia -- Drug Therapy; Medically Underserved Area; Metformin -- Therapeutic Use; Non-Traditional; Outcomes of Education; Pharmacy Service; Physicians -- Education; Prescribing Patterns -- Education; Statins -- Therapeutic Use; Type 2 -- Drug Therapy
Creator
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Awad Magdi H; Ulbrich Timothy R; Furdich Kenneth M; Schneider Stacy R; Gothard M David
Description
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Background: While academic detailing seems to be the most promising intervention to improve prescribing patterns, implementation could be challenging for small community practices. Objective: A pharmacy-led, interactive, and tailored small-group academic detailing in a federally qualified health center is described. The primary objective of the study was to determine if the small-group academic detailing improved the prescribing patterns of the medical providers for select disease states: type 2 diabetes mellitus (T2DM), hyperlipidemia (HLD), and essential hypertension (HTN). Methods: Prescribing patterns in a federally qualified health center were examined in relation to small-group academic detailing sessions from April 2010 to March 2015. The markers for improvement were the increase in utilizing metformin and statins in patients diagnosed with T2DM and HLD, respectively, and the reduction of β-blocker use in patients diagnosed with essential HTN. Changes in prescribing patterns were evaluated using Pearson's χ2 and Fisher's exact tests. Results: The average number of active, adult patients with T2DM, HLD, and essential HTN was 839, 1768, and 2547, respectively. Utilization of metformin in T2DM increased from 5.5% at baseline to 37.7%, statin utilization in HLD increased from 77.1% to 86.9%, and β-blocker use in HTN decreased from 17.9% to 13.8% (P < .005). Conclusions: A pharmacy-led, small-group academic detailing program improved and maintained appropriate prescribing patterns in an underserved community practice. This study serves as a successful pilot emphasizing the pharmacist's role as an educator and a resource to medical providers regarding appropriate medication use.
Identifier
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<a href="http://doi.org/10.1177/8755122518818826" target="_blank" rel="noreferrer noopener">10.1177/8755122518818826</a>
2019
Adrenergic Beta-Antagonists -- Therapeutic Use
Adult
Ambulatory Care Facilities
Awad Magdi H
Chi Square Test
Department of Pharmacy Practice
Descriptive Statistics
Diabetes Mellitus
Education
Essential Hypertension -- Drug Therapy
Fisher's Exact Test
Furdich Kenneth M
Gothard M David
Human
Hyperlipidemia -- Drug Therapy
Journal of Pharmacy Technology
June 2019 Update
Medically Underserved Area
Metformin -- Therapeutic Use
NEOMED College of Pharmacy
Non-Traditional
Outcomes of Education
Pharmacy Service
Physicians -- Education
Prescribing Patterns -- Education
Schneider Stacy R
Statins -- Therapeutic Use
Type 2 -- Drug Therapy
Ulbrich Timothy R