Category list : Adherence compliance and concordance
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Patients’ perspectives on polypharmacy are highly personal, systematic review concludes Subscription
Healthcare professionals should actively seek to understand individual patients’ perspectives on polypharmacy and its challenges, research in BMJ Open has concluded.
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Evaluation of the impact of pharmacist polypharmacy reviews within the Govan Social and Healthcare Integration Partnership (SHIP) project Subscription
Providing pharmacist-led medicines reviews to patients in one of the most deprived areas in Scotland to reduce the health inequality gap.
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Providing medicines adherence support to areas of high deprivation in England: community pharmacists’ experience Subscription
Semi-structured interviews assessing pharmacists’ experiences of providing interventions, products and services that support medicines adherence.
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Top five most popular research articles of 2019
This year, our peer-reviewed research papers received more than 400,000 unique page views.
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Developing a co-produced e-learning programme to support marginalised medically underserved patients Subscription
There have been recent calls for the NHS to pursue a value-based healthcare system, one that is “equitable, sustainable and transparent”[1]. However, promoting a culture based on the values of patient-centred care can be challenging. One notable example in pharmacy ...
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Alexa’s medicine reminders can be 'distressing' for dementia patients
Patients with dementia can be “deeply distressed” to receive medication reminders from Alexa-type devices, according to technology thinktank Doteveryone.
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New tool developed to support decision-making on multicompartment compliance aids Subscription
Researchers have developed a decision tool to ensure that multi-compartment compliance aids are given only those patients who will benefit from them.
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Pharmacists: we can support people with alcohol issues
Brief interventions by community pharmacists — which require little time and no specialist training — can make a big difference to people with alcohol addiction, says Addaction pharmacy director Roz Gittins.
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Weekly contact with pharmacist improves medicine adherence in people with heart failure Subscription
Regular consultations with pharmacists lead to improved medicine adherence in people with chronic heart failure, research results show.
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Patients twice as likely to continue taking medicines if warned about health impact of non-adherence Subscription
Patients who are warned about the personal health consequences of not taking their medicines are nearly twice as likely to continue taking them as prescribed, research has found.
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Patient-centred clinic improves outcomes after myocardial infarction Subscription
A post-myocardial infarction medicines optimisation clinic, led primarily by a pharmacist with support from a cardiologist, has resulted in improved medicines adherence and guideline concordance, study results published in Open Heart show.
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More than 60 million multicompartment compliance aids given out each year in England Subscription
Exclusive: An estimated 64 million multicompartment compliance aids are given out by community pharmacies each year in England, a new report has shown, as data show rising reported incidences of associated harm.
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Are we dispensing too many multicompartment compliance aids? Subscription
Millions of multicompartment compliance aids (MCAs) are handed out by pharmacists each year, but evidence for their benefits is hard to find. Few patients are assessed before being given an MCA and concerns are building over potential errors and harms.
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Boots to switch from monitored dosage systems to patient pack dispensing in care homes Subscription
Exclusive: Boots is changing the way it dispenses medication for care home residents from monitored dosage systems to patient pack dispensing from 1 March 2019.
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Increased intensity plus adherence maximises statin benefits Subscription
High adherence to intensive lipid-lowering therapy provides the greatest risk reduction for cardiovascular events, a study in JAMA Network Open has shown.
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First-year statin discontinuation and non-adherence common in older adults Subscription
A substantial proportion of older people who begin taking statins do not take them as intended, according to an Australian study published in the British Journal of Clinical Pharmacology.
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Reminder apps improve self-reported adherence to cardiovascular medicines Subscription
Medicine reminder apps can improve self-reported adherence to cardiovascular medicines, according to findings from a randomised clinical trial presented at the European Society of Cardiology Congress.
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One in six women with breast cancer 'do not adhere to tamoxifen' Subscription
Some 16% of premenopausal women with early-onset breast cancer fail to adequately adhere to tamoxifen, increasing their risk of recurrence and reduced survival.
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How pharmacists can encourage patient adherence to medicines Audio
This article outlines how community pharmacists can play an important role in medicines adherence, including examples of how to reinforce treatment.
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First implantable glucose monitor approved by FDA
The first continuous glucose monitoring system with a fully implantable sensor has been approved by the US Food and Drug Administration.
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Single-pill combination for hypertension linked with improved clinical outcomes and adherence, study finds
Single-pill fixed-dose combination treatment for hypertension improves medication adherence and is linked with a significantly lower risk of heart attack, heart failure or stroke, a study has found.
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Medication-related harm in older adults costs the NHS £400m each year, study finds Subscription
Medication-related harm affects one in three older adults and incurs an annual cost of around £400m to the NHS, most of which is attributable to hospital readmissions, a study has found.
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Confidence in statins key to adherence, say researchers Subscription
Confidence in the efficacy of statins to minimise the risk of life-threatening cardiovascular disease facilitates their uptake.
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Adherence app ‘has no impact on blood pressure control’ Subscription
A medication reminder app improved adherence but did not lead to improved blood pressure control in people with uncontrolled hypertension, a study has found.
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Nocebo: the placebo effect’s evil twin Subscription
The little-known nocebo effect, where negative expectations about treatment lead to side effects, can have a huge impact on clinical outcomes. It is important that healthcare professionals are aware of the nocebo effect and talk to patients about their medicines in a balanced way so as to try to minimise it.
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More to be done to support children from black and ethnic minority backgrounds in medicines adherence and optimisation Subscription
The article ‘Communicating with parents and involving children in medicines optimisation’ written by Ashifa Trivedi and published in The Pharmaceutical Journal (2017;299(7906):231–234) was an enjoyable and thought-provoking read, especially while I embark on ...
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Non-adherence: medicine’s weakest link Subscription
Non-adherence to prescribed medicines is one of the biggest obstacles to effective healthcare, impacting on patients, healthcare professionals, pharmaceutical companies and healthcare systems. Pharmacists are ideally placed to improve adherence, but are effective interventions available and how can pharmacists match patients to an appropriate intervention?
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Smoking cessation services: how nicotine replacement therapy and counselling through pharmacy can support adherence and quitting Subscription
Smoking is the primary cause of preventable ill health and death in the UK. Pharmacists and pharmacy teams are well placed to provide stop-smoking services, which are cost-effective interventions to help people give up smoking.
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Patients need access to comprehensible information and their summary care records Subscription
This letter is in response to ‘Health literacy, medication adherence and thriving healthcare systems: connecting the dots’.
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Digital ingestion tracking system in pills and medication adherence: future advantages and current limitations Subscription
The US Food and Drug Administration (FDA)’s approval of the first-ever digital pill, Abilify MyCite, an aripiprazole tablet for the treatment of schizophrenia, marks the closest we have come to revolutionising the way the uptake of pills is monitored[1].
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Antithrombotic agents associated with haematuria Subscription
Antithrombotic medications increase risk of complications linked to blood in the urine
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Encouraging adherence to low-dose aspirin important to public health Subscription
A study finds that discontinuing low-dose aspirin is associated with an increased risk of cardiovascular events, and that the risk does not decrease over time.
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Health literacy, medication adherence and thriving healthcare systems: connecting the dots Subscription
Medication adherence is not only the mantra of modern medicine, but also the catalyst to achieve prevention, cure, and wellbeing.
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Non-invasive glucose monitoring for people with diabetes Subscription
Skin sensor could help people with diabetes monitor their blood sugar when exercising.
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Medication non-adherence in breast cancer prevention and treatment
Balkees Abderrahman highlights the problem of medication non-adherence in the treatment and prevention of breast cancer.
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Making drugs work better: four new drug delivery methods Subscription
New drug delivery methods have started to emerge that aim to improve efficacy, cost-effectiveness and adherence as well as reduce side effects.
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Package of antimicrobial drugs reduces deaths in HIV-infected adults and children
REALITY trial, conducted by University College London, reduced death rates in HIV-infected adults and children by more than 25%.
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Community pharmacists are well placed to encourage patients to take their medicines, study finds
A patient support programme run by Celesio and MSD led to a significant improvement in adherence to diabetes medication — especially among those who initially were least adherent.
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Negative feedback from health monitoring devices Subscription
Health is more than the sum of laboratory results and monitoring figures. In the same way, quality of life needs to reflect more than just observations.
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Up to 40% of patients not taking their blood pressure tablets as prescribed
Non-adherence to antihypertensive treatment is common in the United Kingdom and Czech Republic, according to a new study.
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Pharmacist review of asthma patients is cost-effective, Italian study finds
A study conducted in Italy has found that a medicines use review (MUR) for asthma, with a protocol adapted from the UK, had a beneficial effect on patients’ asthma control and was cost effective compared with usual care.
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Adherence to high intensity statins drops off for heart attack patients
Better insurance for drug costs, more specialist visits and taking part in cardiac rehabilitation could improve adherence to recommended statin treatment, researchers believe.
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Could big data be the future of pharmacy? Subscription
The information gleaned from vast amounts of data presents a promising way to maximise the value of medicines, from identifying poor adherence to improving quality of prescribing. Projects in both the UK and the United States are doing just that.
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Stroke patients may need more help with statins management
Health professionals need to do more to address concerns about side effects in patients prescribed statins after a stroke, research suggests.
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What healthcare professionals can do to help limit HIV resistance Subscription
Limiting HIV resistance must not be neglected in an era where we continue to see breakthroughs in treatment for the infection once labelled a death sentence.
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Patients with resistant hypertension not taking medicines, research suggests
Many patients with apparent resistant hypertension may just not be taking all their medicines, Dutch researchers have reported.
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Around one in six patients does not collect newly prescribed treatment
Around one in six patients fails to get a prescription filled the first time it is prescribed for them by a doctor, according to new research.
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Team interventions improve adherence to lipid-lowering medication Subscription
Pharmacist-led interventions and patient education are better at improving adherence to lipid-lowering drugs than other types of intervention, such as electronic or telephone reminders, study results show.
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Why some patients are reluctant to take osteoporosis drugs Subscription
There are a number of factors that contribute to patients’ fear and reluctance to take osteoporosis drugs, leaving them at increased risk of fractures.
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Evaluate pharmacists working in GP pilot schemes, MPs urge
Pilot schemes testing whether locating pharmacists inside GP practices can improve clinical care and free up GP time now need to be formally evaluated, says an all-party parliamentary group of MPs.
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