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The role of a pharmacist in safety net settings has not been well studied, specifically in meeting unmet needs of vulnerable
patients with diabetes. The objective of this study was to identify unmet management and medication-related needs
of patients with diabetes who are receiving care in two distinct underserved practices in Pittsburgh, PA. Individual, semistructured
interviews with patients from a Free Clinic (FC) and a Federally Qualified Community Health Center (FQHC)
in Pittsburgh were conducted. Inclusion criteria included: adults at least 18 years old with uncontrolled diabetes (A1C >
7%) who received health care services from either the FC or the FQHC. Participants completed a short demographic survey
and answered questions about their perceptions and attitudes in four thematic areas: (1) self-management of diabetes; (2)
medication-related needs; (3) the role of the pharmacist in their care; and (4) how pharmacists can be better integrated in
their diabetes management. Transcripts were analyzed using principles of Grounded Theory. Twenty-nine interviews were
conducted: 15 participants were from the FC, and 14 were from the FQHC. Five main themes emerged from each site including:
patients experience challenges managing their diabetes, patients identify the emotional struggle associated with living with
diabetes, patients feel that they are ?on their own? to care for their diabetes, patients desire a personal and caring relationship
with their pharmacist, and patients value a pharmacist who is knowledgeable about diabetes care. These results will help
provide guidance to pharmacists working in safety net settings who are interested in expanding clinical pharmacy services for
patients with diabetes.
Biography
Yardlee S. Kauffman received her PharmD degree from the University of Pittsburgh School of Pharmacy in 2010. Dr. Kauffman completed a PGY1 community
practice residency at the University of Pittsburgh Medical Center in 2011 and a PGY2 residency in Ambulatory Care with an emphasis in underserved care and
global health at the University of Pittsburgh School of Pharmacy in 2012. She also received a Masters in Public Health from the University of Pittsburgh Graduate
School of Public Health in 2012. She is also board certified in both ambulatory care pharmacy and public health. Dr. Kauffman is currently in the final year of a twoyear
outcomes research fellowship at Kaiser Permanente Colorado.
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