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Novel remote electronic medication supply model for opioid-dependent outpatients with polypharmacy--first long-term case study
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
 
ID 3935833
Author(s) Allemann, Samuel S.; Dürsteler, Kenneth M.; Strasser, Johannes; Vogel, Marc; Stoeckle, Marcel; Hersberger, Kurt E.; Arnet, Isabelle
Author(s) at UniBasel Arnet, Isabelle
Allemann, Samuel
Hersberger, Kurt
Year 2017
Title Novel remote electronic medication supply model for opioid-dependent outpatients with polypharmacy--first long-term case study
Journal Harm Reduction Journal
Volume 14
Number 1
Pages / Article-Number 56
Keywords Medication adherence, Medication management aid, Interprofessional collaboration, Substance use disorders, Old age
Abstract Patients with substance use disorders grow older thanks to effective treatments. Together with a high prevalence of comorbidities, psychological problems, and low social support, these patients are at high risk for medication non-adherence. Established treatment facilities face challenges to accommodate these complex patients within their setting. Electronic medication management aids (e-MMAs) might be appropriate to simultaneously monitor and improve adherence for these patients.; We report the first long-term experiences with a novel remote electronic medication supply model for two opioid-dependent patients with HIV. John (beginning dementia, 52 years, 6 tablets daily at 12 am) and Mary (frequent drug holidays, 48 years, 5-6 tablets daily at 8 pm) suffered from disease progression due to non-adherence. We electronically monitored adherence and clinical outcomes during 659 (John) and 953 (Mary) days between July 2013 and April 2016. Both patients retrieved over 90% of the pouches within 75 min of the scheduled time. Technical problems occurred in 4% (John) and 7.2% (Mary) of retrievals, but on-site support was seldom required. Viral loads fell below detection limits during the entire observation period.; Continuous medication supply and persistence with treatment of over 1.7 years, timing adherence of more than 90%, and suppressed HIV viral load are first results supporting the feasibility of the novel supply model for patients on opioid-assisted treatment and polypharmacy.
Publisher BioMed Central
ISSN/ISBN 1477-7517
URL https://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-017-0182-x
edoc-URL http://edoc.unibas.ch/58808/
Full Text on edoc No
Digital Object Identifier DOI 10.1186/s12954-017-0182-x
PubMed ID http://www.ncbi.nlm.nih.gov/pubmed/28814330
ISI-Number WOS:000407972500002
Document type (ISI) Article
 
   

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17/04/2024