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Dose-dispensing service as an intervention to improve adherence to polymedication
Journal
Expert review of clinical pharmacology
Volume
6
Number
4
Pages / Article-Number
413-21
Keywords
adherence, adherence aid, community pharmacy, medication reminder system, packaging aid, personalized medicine, pharmaceutical care, pillbox, polymedication
Abstract
Given the importance of high adherence to long-term pharmacotherapy and the growing need to improve medication adherence, choosing the best intervention represents a challenge for healthcare providers. A dose-dispensing service is defined as the repackaging of solid oral medication into dose-dispensing aids by a healthcare provider, mostly in a community pharmacy or hospital pharmacy, in order to assist patients in the management of their polymedication. The personalized dose-dispensing aid organizes individual oral doses according to their prescribed intake schedule throughout the day and the week. This review aims to describe the pros and cons of different dose-dispensing services and technologies, summarizes current evidence and addresses research gaps.