Development of an electronic tool (e-AdPharm) to address unmet needs and barriers of community pharmacists to provide medication adherence support to patients

Process Evaluation of Implementing a Pharmacist-Led Intervention to Improve Adherence to Antihypertensive Drugs Among Patients with Type 2 Diabetes in Indonesian Community Health Centers

“…As mentioned by the pharmacists in our study, more explicit guidelines for pharmaceutical care may be important for maintaining the adherence intervention. Furthermore, lack of time is a common barrier to the provision of medication adherence support by community pharmacists ( Fénélon-Dimanche et al, 2020 ). Therefore, offering a short training and practical tools that support pharmacists to quickly identify non-adherent patients and target only non-adherent patients using a tailored approach may be important elements of our intervention.…”

Smart product-service systems in the healthcare industry: Intelligent connected products and stakeholder communication drive digital health service adoption

“…Telemonitoring services can be applied to clinical trials, patient records, patient devices, and virtual consultations to track a patient's health to remotely interpret data and make decisions regarding follow-up and treatment [ 1 , 41 ]. Smartphone apps and devices deliver emergency healthcare, monitor glucose levels, blood pressure, and heart rates, and aid in medication adherence [ 12 , 13 , 42 ]. For treatment, digital health allows the acquisition of open health information, biomedical research, and patient records, aiding medication decision support systems in treatment [ 3 , 37 ].…”

“…Smart PSSs refer to the integration of intelligent connected products and digital services into single-solution bundles that are delivered to the market to satisfy individual consumers’ needs [ 11 , 12 ]. Smart PSSs offer a user-centric business model and provide collaboration through interactions between technology suppliers, physicians, and patients [ 2 , 13 , 14 ]. Thus, a smart PSS business model has the potential to address the challenges in the digital transformation of the healthcare industry.…”

“…However, a theoretical gap is created when stakeholder interaction is poorly understood, and external forces such as technology create constant change in these interactions, reducing performance and stakeholder acceptance. Fénélon-Dimanche et al [ 13 ] noted that in digital health service adoption, it is necessary to consider stakeholder engagement in collaborative innovation and to codesign processes across patients, physicians, technology suppliers and other healthcare-related professionals. However, focusing on technology rather than users may reduce the potential benefits.…”

Delta T, a Useful Indicator for Pharmacy Dispensing Data to Monitor Medication Adherence

“…In addition, the presented visualization of ∆T as heat map, with the intuitive traffic light scheme color code using green for refills "on time" and red for refills "too late", could enable rapid detection of patients in need of a targeted intervention. In focus groups conducted by Fénélon-Dimanche et al asking for the expectations of an electronic medication adherence tool based on prescription refills, the pharmacists wanted a table displaying medication adherence with a color code representing adherence level [39]. Compared to their proposed annual MPR and quarterly MPR, ∆T provides a more sophisticated mapping of patient behavior.…”