Pharmacy diabetes care program: analysis of two screening methods for undiagnosed type 2 diabetes in Australian community pharmacy

Ines Krass, B F Mitchell, P Clarke, M Brillant, R Dienaar, Jim R Hughes, Phyllis Min-Yu Lau, Gregory M Peterson, Kay Stewart, Simone Elise Taylor, James Wilkinson, Carol Armour

Research output: Contribution to journalArticleResearchpeer-review

41 Citations (Scopus)

Abstract

Objective: To compare the efficacy and cost-effectiveness of two methods of screening for undiagnosed type 2 diabetes in Australian community pharmacy. Methods: A random sample of 30 pharmacies were allocated into two groups: (i) tick test only (TTO); or (ii) sequential screening (SS) method. Both methods used the same initial risk assessment for type 2 diabetes. Subjects with one or more risk factors in the TTO group were offered a referral to their general practitioner (GP). Under the SS method, patients with risk factors were offered a capillary blood glucose test and those identified as being at risk referred to a GP. The effectiveness and cost-effectiveness of these approaches was assessed. Results: A total of 1286 people were screened over a period of 3 months. The rate of diagnosis of diabetes was significantly higher for SS compared with the TTO method (1.7 versus 0.2 ; 1, = 0.008). The SS method resulted in fewer referrals to the GP and a higher uptake of referrals than the TTO method and so was the more cost-effective screening method. Conclusions: SS is the superior method from a cost and efficacy perspective. It should be considered as the preferred option for screening by community based pharmacists in Australia.
Original languageEnglish
Pages (from-to)339 - 347
Number of pages9
JournalDiabetes Research and Clinical Practice
Volume75
Issue number3
Publication statusPublished - 2007

Cite this

Krass, I., Mitchell, B. F., Clarke, P., Brillant, M., Dienaar, R., Hughes, J. R., Lau, P. M-Y., Peterson, G. M., Stewart, K., Taylor, S. E., Wilkinson, J., & Armour, C. (2007). Pharmacy diabetes care program: analysis of two screening methods for undiagnosed type 2 diabetes in Australian community pharmacy. Diabetes Research and Clinical Practice, 75(3), 339 - 347.