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Journal article

Success of a sustained pharmaceutical care service with electronic adherence monitoring in patient with diabetes over 12 months.

  • Boeni F Department of Pharmaceutical Sciences, University of Basel, Basel, Switzerland.
  • Hersberger KE Department of Pharmaceutical Sciences, University of Basel, Basel, Switzerland.
  • Arnet I Department of Pharmaceutical Sciences, University of Basel, Basel, Switzerland.
  • 2015-06-04
Published in:
  • BMJ case reports. - 2015
Aged
Diabetes Mellitus, Type 2
Drug Administration Schedule
Humans
Hypoglycemic Agents
Male
Medical Records Systems, Computerized
Medication Adherence
Patient Satisfaction
Pharmaceutical Services
Polypharmacy
Time Factors
English 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.
Language
  • English
Open access status
green
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Persistent URL
https://sonar.ch/global/documents/202346
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