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journal article Oct 19, 2021

Comparative performance of annual wellness visits between pharmacists and physicians at primary care clinics

Evelyn Kisakye Moffatt Ryan Wargo Christa Johnson Marina Kawaguchi‐Suzuki ORCID
JACCP: JOURNAL OF THE AMERICAN COLLEGE OF CLINICAL PHARMACY Vol. 4 No. 12 pp. 1524-1533 · Wiley
View at Publisher Save 10.1002/jac5.1544
Abstract
AbstractIntroductionAnnual wellness visits (AWVs) can help close care gaps, defined as differences between guideline‐recommended practice and actual care. The purpose of this study was to compare the performance of AWVs conducted by pharmacists and physicians toward care gap closure for the prevention and treatment of cardiovascular disease and osteoporosis.MethodsA retrospective chart review was conducted to evaluate interventions made during AWVs by pharmacists and physicians at primary care clinics. The variables of interest were (a) use of aspirin, statins, angiotensin‐converting enzyme inhibitors/angiotensin receptor II blockers, bisphosphonates, calcium/vitamin D, and proton pump inhibitors, and (b) need for dual energy x‐ray absorptiometry (DEXA) scans. The primary outcome was the rate of care gap closure examined between pharmacists' and physicians' panels.ResultsAmong 416 AWVs completed by pharmacists, 233 care gaps were identified, and 120 care gaps were closed. Similarly, among 169 AWVs completed by physicians, 103 care gaps were identified, and 27 gaps were closed. The rates of care gap closure were 0.29 ± 0.43 for physicians and 0.53 ± 0.48 for pharmacists (mean ± SD). The number of care gaps significantly improved between pre‐ and post‐AWVs for both groups (P < .01). The noninferiority test showed that the rates were noninferior for pharmacists compared with physicians (95% confidence interval: 0.12‐0.36). Overall, the most notable care gaps identified were (a) missing DEXA screenings, (b) inappropriate statin therapy, and (c) inappropriate calcium/vitamin D therapy. Reasons for not closing gaps were (a) declined drug therapy, (b) prior intolerance to medication, and (c) not completed DEXA scans. AWVs also corrected medication list inaccuracies and increased vaccination.ConclusionThis study showed that both pharmacists and physicians can utilize AWVs to close care gaps for the prevention and treatment of cardiovascular disease and osteoporosis, and the performance of pharmacists was noninferior to that of physicians.
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Metrics
4
Citations
49
References
Details
Published
Oct 19, 2021
Vol/Issue
4(12)
Pages
1524-1533
License
View
Authors
E
Evelyn Kisakye Moffatt

Legacy Health Ambulatory Care Services Portland Oregon USA; Multnomah County Health Department Portland Oregon USA

R
Ryan Wargo

Legacy Health Ambulatory Care Services Portland Oregon USA

C
Christa Johnson

Legacy Health Ambulatory Care Services Portland Oregon USA

M
Marina Kawaguchi‐Suzuki

Legacy Health Ambulatory Care Services Portland Oregon USA; School of Pharmacy Pacific University Hillsboro Oregon USA

Cite This Article
Evelyn Kisakye Moffatt, Ryan Wargo, Christa Johnson, et al. (2021). Comparative performance of annual wellness visits between pharmacists and physicians at primary care clinics. JACCP: JOURNAL OF THE AMERICAN COLLEGE OF CLINICAL PHARMACY, 4(12), 1524-1533. https://doi.org/10.1002/jac5.1544
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