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The Effect of Interventions Led by Community Pharmacists in Primary Care for Adults with Type 2 Diabetes Mellitus on Therapeutic Adherence and HbA1c Levels: A Systematic Review

Author

Listed:
  • Sarah Al Assaf

    (University Pharmacy Department of Pharmacy Administration, Semmelweis University, 1092 Budapest, Hungary)

  • Romana Zelko

    (University Pharmacy Department of Pharmacy Administration, Semmelweis University, 1092 Budapest, Hungary)

  • Balazs Hanko

    (University Pharmacy Department of Pharmacy Administration, Semmelweis University, 1092 Budapest, Hungary)

Abstract

Type 2 diabetes mellitus has been assessed as a widespread disease globally. Unfortunately, this illness can occasionally go undetected and without symptoms until it reaches the emergency condition, and this can be notably true in patients who do not receive routine medical care. Pharmacists are the foremost accessible health care providers. They can help patients select the most appropriate hypoglycemic management strategy through their experiences. This review aimed to provide an overview of the literature published on community pharmacists’ interventions that are currently used and their usefulness in improving patient adherence and glycosylated hemoglobin (HbA1c) levels. Relevant studies were retrieved through a comprehensive search of three databases, PubMed/Medline, Web of Science, and CINAHL (2010 to 2020). In total, 8362 publications were identified. The final protocol was based on the “Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA)”. After applying inclusion and exclusion measures, 21 articles were deemed relevant. In pharmacists’ interventions in diabetes care, patient education and counseling were the most common intervention methods. Essentially, this systematic review provides evidence and identifies the key features that may predict success in enhancing clinical outcomes and patient adherence to treatment. Based on our findings, we suggest further investigations of the root causes of non-adherence problems.

Suggested Citation

  • Sarah Al Assaf & Romana Zelko & Balazs Hanko, 2022. "The Effect of Interventions Led by Community Pharmacists in Primary Care for Adults with Type 2 Diabetes Mellitus on Therapeutic Adherence and HbA1c Levels: A Systematic Review," IJERPH, MDPI, vol. 19(10), pages 1-16, May.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:10:p:6188-:d:819288
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    References listed on IDEAS

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    1. Maria Laura Ilardo & Antonio Speciale, 2020. "The Community Pharmacist: Perceived Barriers and Patient-Centered Care Communication," IJERPH, MDPI, vol. 17(2), pages 1-16, January.
    2. Mossialos, Elias & Courtin, Emilie & Naci, Huseyin & Benrimoj, Shalom & Bouvy, Marcel & Farris, Karen & Noyce, Peter & Sketris, Ingrid, 2015. "From “retailers” to health care providers: Transforming the role of community pharmacists in chronic disease management," Health Policy, Elsevier, vol. 119(5), pages 628-639.
    3. Claire Coutureau & Florian Slimano & Céline Mongaret & Lukshe Kanagaratnam, 2022. "Impact of Pharmacists-Led Interventions in Primary Care for Adults with Type 2 Diabetes on HbA1c Levels: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 19(6), pages 1-20, March.
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