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Communicating electronic adherence data to physicians-consensus-based development of a compact reporting form
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
 
ID 4636090
Author(s) Dietrich, Fine; Zeller, Andreas; Haag, Melanie; Hersberger, Kurt E; Arnet, Isabelle
Author(s) at UniBasel Arnet, Isabelle
Dietrich, Fine Michèle
Haag, Melanie
Hersberger, Kurt
Zeller, Andreas
Year 2021
Title Communicating electronic adherence data to physicians-consensus-based development of a compact reporting form
Journal Int J Environ Res Pub Health
Volume 18
Number 19
Pages / Article-Number 10264
Keywords electronic health record; electronic monitoring; medication adherence; primary care
Mesh terms Consensus; Electronics; Humans; Pharmacists; Pharmacy; Physicians
Abstract

Information on medication adherence is missing in patient files, although it might be helpful to optimize treatment. An adherence report that presents data from electronic adherence monitoring and provides recommendations regarding pharmacological treatment could close this gap. We aimed to develop an adherence reporting form that combines suitable calculations and graphical representations to facilitate the physicians' interpretation of (non-)adherence. Two consensus development panels were conducted. First, pharmacists with expertise in adherence monitoring debated the items needed to calculate and illustrate electronic adherence data. Second, physicians discussed the items they would need for an adherence report and were encouraged to propose new items. Preference was indicated by raising a green or red card. Voting was repeated until consensus was obtained. Third, first drafts of the adherence reporting form were created by two pharmacists. Seven pharmacists agreed on four metrics to express medication adherence and three graphical representations. Five physicians approved the four metrics and rated the dot chart as the most useful illustration for judging the patient's adherence patterns. Additionally, they required a clinical-pharmaceutical evaluation of the adherence estimates considering drug-related properties. We developed an adherence reporting form for the first time in a compact format and based on the recommendations of experts. In addition, we considered the preferences of physicians, who appreciated the clarity of the reporting form.

ISSN/ISBN 1660-4601
Full Text on edoc
Digital Object Identifier DOI 10.3390/ijerph181910264
PubMed ID http://www.ncbi.nlm.nih.gov/pubmed/34639562
   

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