title: Success of a sustained pharmaceutical care service with electronic adherence monitoring in patient with diabetes over 12 months.
abstract: We report on the first polypharmacy adherence monitoring over 371 days, integrated into a pharmaceutical care service (counselling, electronic multidrug punch cards, feedback on recent electronic records) for a 65-year-old man with diabetes after hospital discharge. The initial daily regimen of four times per day with 15 pills daily changed after 79 days into a daily regimen of two times per day with 9 pills daily for the next 292 days. The patient removed all medication from the multidrug punch cards (taking adherence 100%) and had 96.9% correct dosing intervals (timing adherence). The 57 evening doses showed the least variation in intake times at 17 h 45 min±8 min. Over the observation year, the patient was clinically stable. He was very satisfied with the multidrug punch card and the feedback on electronic records. In conclusion, long-term monitoring of polypharmacy was associated with the benefit of successful disease management.
authors.affiliation: Department of Pharmaceutical Sciences, University of Basel, Basel, Switzerland.
authors.forename: Fabienne
authors.initials: F
authors.lastname: Boeni
authors.affiliation: Department of Pharmaceutical Sciences, University of Basel, Basel, Switzerland.
authors.forename: Kurt E
authors.initials: KE
authors.lastname: Hersberger
authors.affiliation: Department of Pharmaceutical Sciences, University of Basel, Basel, Switzerland.
authors.forename: Isabelle
authors.initials: I
authors.lastname: Arnet
mesh_terms: D000368:Aged; D003924:Diabetes Mellitus, Type 2 / Q000188:drug therapy* / Q000523:psychology; D004334:Drug Administration Schedule; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage*; D008297:Male; D016347:Medical Records Systems, Computerized; D055118:Medication Adherence / Q000523:psychology; D017060:Patient Satisfaction; D010593:Pharmaceutical Services / Q000458:organization & administration; D019338:Polypharmacy; D013997:Time Factors; D016903:Drug Monitoring
chemical_list: D007004:Hypoglycemic Agents