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Success of a sustained pharmaceutical care service with electronic adherence monitoring in patient with diabetes over 12 months
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
 
ID 3133033
Author(s) Boeni, Fabienne; Hersberger, Kurt E.; Arnet, Isabelle
Author(s) at UniBasel Arnet, Isabelle
Böni, Fabienne
Hersberger, Kurt
Year 2015
Title Success of a sustained pharmaceutical care service with electronic adherence monitoring in patient with diabetes over 12 months
Journal BMJ case reports
Volume 2015
Keywords pharmaceuticalcare,medicationadherence,primarycare,dose-dispensing aids, multidrugpunchcard,polypharmacy
Mesh terms Aged; Diabetes Mellitus, Type 2, psychology; Drug Administration Schedule; Humans; Hypoglycemic Agents, administration & dosage; Male; Medical Records Systems, Computerized; Medication Adherence, statistics & numerical data; Patient Satisfaction; Pharmaceutical Services, organization & administration; Polypharmacy; Time Factors
Abstract We report on the first polypharmacy adherence monitoring over 371 days, integrated into a pharmaceutical care service (counselling, electronic multidrug punch cards, feedback on recent electronic records) for a 65-year-old man with diabetes after hospital discharge. The initial daily regimen of four times per day with 15 pills daily changed after 79 days into a daily regimen of two times per day with 9 pills daily for the next 292 days. The patient removed all medication from the multidrug punch cards (taking adherence 100%) and had 96.9% correct dosing intervals (timing adherence). The 57 evening doses showed the least variation in intake times at 17 h 45 min±8 min. Over the observation year, the patient was clinically stable. He was very satisfied with the multidrug punch card and the feedback on electronic records. In conclusion, long-term monitoring of polypharmacy was associated with the benefit of successful disease management.
Publisher BMJ
ISSN/ISBN 1757-790X
edoc-URL http://edoc.unibas.ch/dok/A6390914
Full Text on edoc Available
Digital Object Identifier DOI 10.1136/bcr-2014-208672
PubMed ID http://www.ncbi.nlm.nih.gov/pubmed/26038379
ISI-Number MEDLINE:26038379
Document type (ISI) Journal Article
 
   

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