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Quantifying and characterising multi-compartment compliance aid provision.

Riddhi Shenoy1, Sion Scott1, Debi Bhattacharya1

  • 1School of Pharmacy, University of East Anglia, Norwich, Norfolk, NR4 7TJ, United Kingdom.

Research in Social & Administrative Pharmacy : RSAP
|September 4, 2019
PubMed
Summary
This summary is machine-generated.

Medication compliance aids (MCAs) are increasingly used by English pharmacies, with pharmacists prioritizing suitability over patient choice or adverse event risks. Further research is needed to assess MCA cost-effectiveness and patient impact.

Keywords:
AssessmentCompliance aidCostDeterminantsDossettInfluencersPill organiser

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Area of Science:

  • Pharmacy Practice
  • Health Services Research

Background:

  • Medication compliance aids (MCAs) support patient adherence but lack cost-effectiveness evidence.
  • A 2001 survey indicated 100,000 patients in England used MCAs at home.

Purpose of the Study:

  • To estimate current MCA provision by community pharmacies in England.
  • To identify factors influencing pharmacists' decisions on MCA initiation.

Main Methods:

  • A stratified random sample of 40 community pharmacies in England were surveyed.
  • Telephone and postal surveys collected data on MCA provision and influencing factors.

Main Results:

  • An estimated 273,529 MCAs are filled monthly by English community pharmacies.
  • Pharmacists' judgment of appropriateness (51.3%) was the primary factor for MCA initiation.
  • Suitability of medication for dispensing in an MCA influenced 58% of decisions.

Conclusions:

  • MCA provision in England has more than doubled in the past decade.
  • Pharmacists primarily consider medication suitability, with limited consideration for patient choice or adverse event risks.