Are multidose drug dispensing systems initiated for the appropriate patients?

European Journal of Clinical Pharmacology
Bram J MertensMarcel L Bouvy

Abstract

It is unknown if multidose drug dispensing (MDD) systems are initiated for the appropriate patients. Therefore, the objective of this study was to compare the medication management problems of patients who were about to start with a MDD system (MDD patients) and patients who continued manually dispensed medication (non-MDD users) in order to identify if the appropriate patients receive a MDD system. Patient interviews (semi-structured) were conducted by 44 community pharmacists at the patient's home. Patients over 65 years of age, home dwelling and using at least five chronic drugs, were eligible for the study. An assessment tool was developed including 22 potential medication management problems, covering four domains: functional (7), organizational (7), medication adherence (6), and medication knowledge (2). Median scores were calculated with the interquartile range. Additionally, cognitive function was assessed with the Mini-Cog and frailty using the Groningen Frailty Indicator. One hundred eighty-eight MDD users and 230 non-MDD users were interviewed. MDD users were older, more often female, and using more drugs. Forty-two percent of the MDD users were possibly cognitively impaired and 63% were assessed as frail compared to...Continue Reading

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Citations

Aug 8, 2020·BMC Geriatrics·Anette Vik JosendalAnne Gerd Granas
Nov 28, 2018·International Journal of Clinical Pharmacy·Bram J MertensMarcel L Bouvy
Mar 7, 2021·Pharmacy : Journal of Pharmacy, Education and Practice·Anette Vik Josendal, Trine Strand Bergmo

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