Multidose drug dispensing (MDD) increases adherence, but decreases the medication knowledge

Nederlandse versie >

Multidose drug dispensing (MDD), medication which is packaged for each intake moment, is more and more used in the Netherlands. Pharmacies order these medication rolls at the “MDD companies”. In a study, MDD users (≥ 65 years, ≥ 5 oral chronic drugs) were randomly selected from eight Dutch community pharmacies. Non-MDD users (≥ 5 oral chronic drugs) were matched on age and gender. It is expected that the role of the professional caregivers will decrease when using MMD with patients.

Kwint e.a. compared the medication adherence and the knowledge of those medications on MDD and non-MDD patients. The percentage of patients being adherent to all drugs was higher for MDD users (81%) compared with non-MDD users (58%).The percentage of patients with adequate knowledge was lower for MDD users (40%) compared with non-MDD users (79%). The differences in adherence were independent of knowledge. This means that the measured adherence is related to the automated multidose drug dispensing system.

Vitaphone Netherlands likes to state that these rolls should be supplied much more and much earlier in the process. Not only a MDD system increases the adherence, but a medication adherence support system (MASS) ensures a further increased level of adherence. The packaging of multidose medication in pouches and support to the users and caregivers will accomplish an improvement for the healthcare industry. We can start right away!

Author:
Indy Kavelaars @ Vitaphone Netherlands

Sources:
Kwint HF, Stolk G, Faber A, Gussekloo J, Bouvy ML. Medication adherence and knowledge of older patients with and without multidose drug dispensing, Age Ageing. 2013 Sep
van de Vaart F. Meer therapietrouw bij medicatierollen. PW Wetenschappelijk Platform. 2013;7:e1329.

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One thought on “Multidose drug dispensing (MDD) increases adherence, but decreases the medication knowledge

  1. Tom Ladd says:

    Here in Canada, we have Medication Review Programs, designed to assist patients gain a full understanding of their medications and the role that they play in their health and wellness. Great idea, terrible execution. In one province, seniors have a co-pay for these reviews, and therefore leave them to the “last minute” in the year, when their co-pay deductible is topped up and the review cost them nothing personally.

    In another, pharmacies are paid according to obtaining a signed document that the MedsCheck is “done”, without regard to the quality of the review, nor the time allotted to the consultation.

    In a third, the number of consultations is capped at a set number per pharmacy without regard to need.

    Neither scenario fosters the kind of thoughtful consideration that was intended by the program architects.

    Adherence is one thing, and while rarely monitored, even less so is a patient’s thorough understanding of their medications, through a considered consultation with a pharmacist.

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