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Multidose Drug Dispensing in Community Healthcare Settings for Patients With Multimorbidity and Polypharmacy
Adela Martín-Oliveros1, Javier Plaza Zamora1, Alessandro Monaco2
1Spanish Society of Clinical, Family and Community Pharmacy (SEFAC), Madrid, Spain.
Summary
Multidose drug dispensing (MDD) systems aid patients with multiple conditions and medications in community settings. While data is limited, MDD shows potential benefits when supported by medication reviews and clear healthcare professional roles.
Area of Science:
- Pharmacy Practice
- Geriatric Medicine
- Health Services Research
Background:
- Multidose drug dispensing (MDD) involves packaging medications for specific times, aiding patients with complex regimens.
- Patients utilizing MDD often present with multimorbidity, polypharmacy, cognitive impairment, and are typically older females.
- MDD is frequently implemented for individuals with diminished medication management capacity.
Purpose of the Study:
- To conduct a narrative review of existing literature on Multidose Drug Dispensing (MDD) systems.
- To examine MDD's impact in community healthcare settings for patients with multimorbidity and polypharmacy.
- To synthesize findings on adherence, medication knowledge, prescription quality, and patient/HCP perspectives.
Main Methods:
- A literature search was conducted to identify relevant studies on MDD.
- Included studies focused on adherence, medication knowledge, prescription quality, incidents, and outcomes post-MDD initiation.
- Qualitative data on healthcare professional (HCP) and patient experiences were also considered.
Main Results:
- Limited data exists on MDD in community settings, especially concerning adherence outcomes.
- Studies predominantly originate from Northern Europe, with selected patients being older, female, and having complex health needs.
- Reported advantages include improved medication management, though enhancement is possible through medication review and defined HCP roles.
Conclusions:
- MDD systems show potential benefits for managing complex medication regimens in community care.
- Optimizing MDD requires collaboration between healthcare professionals and patients for system development and assessment.
- Future research should focus on comprehensive follow-up and clearly defined roles within the medication management chain.
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