OBJECTIVE To evaluate the impact of a community pharmacist-driven health coaching program on clinical outcomes from baseline to 1 year. SETTING Independent community pharmacy in western North Carolina. PRACTICE DESCRIPTION Sona Pharmacy + Clinic is an independent community pharmacy offering enhanced clinical services such as medication synchronization, adherence packaging, and free delivery. Sona Benefits offers pharmacy benefit manager (PBM) services to self-funded plans in western North Carolina. PRACTICE INNOVATION Sona Health Management Program is a disease management program offered to Sona Benefits PBM clients; the services began in October 2016. EVALUATION Change in clinical outcome measures (total number of medications, blood pressure, hemoglobin A1c, weight, low-density lipoprotein cholesterol [LDL-C], high-density lipoprotein cholesterol [HDL-C], triglycerides [TG], patient health questionnaire [PHQ-9] scores, and asthma control test [ACT] scores) were assessed for members who participated in the program for a minimum of 12 months for at least 2 of the following conditions: hypertension, hyperlipidemia, diabetes, depression, and asthma. RESULTS Health coaching was provided to 42 members (mean age of 55.9 years and 2.7 qualifying disease states). The mean number of medications per patient significantly decreased from 7.2 to 6.2 (P = 0.02). Systolic and diastolic blood pressures were significantly reduced from 130.8 mm Hg to 125.7 mm Hg (P = 0.04) and 76.9 mm Hg to 73.7 mm Hg (P = 0.04), respectively. Other clinical outcome measures evaluated, such as hemoglobin A1c, weight, LDL-C, HDL-C, TG, and PHQ-9 and ACT scores, were improved but did not reach significance. CONCLUSION These results suggest that community pharmacists can have a positive impact on patients with multiple chronic conditions through health coaching services. This project suggests a potential model of pharmacist health coaching through pharmacist-run PBM services.

中文翻译：

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社区药剂师领导的健康指导对临床结果的影响。

目的评估社区药剂师主导的健康指导计划对从基线到1年临床结果的影响。设置北卡罗来纳州西部的独立社区药房。业务描述Sona Pharmacy + Clinic是一家独立的社区药房，提供增强的临床服务，例如药物同步，依从性包装和免费送货。Sona Benefits为北卡罗莱纳州西部的自费计划提供药房福利管理器（PBM）服务。实践创新Sona健康管理计划是为Sona Benefits PBM客户提供的疾病管理计划。服务于2016年10月开始。评价临床结果测量值的变化（药物总数，血压，血红蛋白A1c，体重，低密度脂蛋白胆固醇[LDL-C]，评估参加该计划至少12个月的成员的高密度脂蛋白胆固醇[HDL-C]，甘油三酸酯[TG]，患者健康调查表[PHQ-9]得分和哮喘控制测试[ACT]得分）至少有以下两种情况：高血压，高脂血症，糖尿病，抑郁症和哮喘。结果向42名成员提供了健康指导（平均年龄55.9岁，有2.7个符合条件的疾病状态）。每位患者的平均用药数量从7.2显着降低到6.2（P = 0.02）。收缩压和舒张压分别从130.8毫米汞柱降至125.7毫米汞柱（P = 0.04）和76.9毫米汞柱降至73.7毫米汞柱（P = 0.04）。评估了其他临床结果指标，例如血红蛋白A1c，体重，LDL-C，HDL-C，TG和PHQ-9和ACT得分，有所改善，但没有达到目的。结论这些结果表明，社区药师可以通过健康指导服务对患有多种慢性病的患者产生积极影响。该项目建议通过药师经营的PBM服务进行药师健康指导的潜在模式。