Adherence measurement systems and technology for medications in older patient populations

被引:24
作者
Stegemann, S. [1 ]
Baeyens, J. -P. [2 ]
Cerreta, F. [3 ]
Chanie, E. [4 ]
Lofgren, A. [5 ]
Maio, M. [6 ]
Schreier, G. [7 ]
Thesing-Bleck, E. [8 ]
机构
[1] Capsugel, B-2880 Bornem, Belgium
[2] EUGMS, B-8400 Oostende, Belgium
[3] European Med Agcy, London E14 4HB, England
[4] Merck Serono, CH-1211 Geneva 20, Switzerland
[5] AstraZeneca, SE-15185 Sodertalje, Sweden
[6] Merck KgaA, D-64293 Darmstadt, Germany
[7] AIT Austrian Inst Technol GmbH, A-8020 Graz, Austria
[8] ConceptionApo, D-52072 Aachen, Germany
关键词
Adherence measurement systems; Older patients; Drug adherence; Improving drug adherence; Reasons for non-adherence; THERAPY COMPLIANCE MEASUREMENT; CLINICAL-TRIALS; PREDICTIVE-VALIDITY; INNOVATIVE SYSTEM; BLOOD-PRESSURE; INTERVENTIONS; HEART; METAANALYSIS; PERSISTENCE; MANAGEMENT;
D O I
10.1016/j.eurger.2012.05.004
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Non-adherence to a drug therapy is often the reason for not achieving the therapeutic goals in patients. Measuring drug adherence is an important intervention to understand patients' adherence patterns and behavior as well as to provide supportive measures to enhance the patient adherence to a prescribed drug therapy. A variety of different adherence measurement systems (AMS) exist that have been proven valid even though there is not one single AMS considered to be a gold standard. Some AMS allow through interactions with the physician or pharmacist and the patient to initiate corrective interventions, mainly in the form of alert and reminder systems. When applied to patients with several morbidities, co-morbidities and disabilities, appropriate AMS still remain a challenge. (C) 2012 Elsevier Masson SAS and European Union Geriatric Medicine Society. All rights reserved.
引用
收藏
页码:254 / 260
页数:7
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