Norwegian drug information centres strongly promote person-centred and personalised medicine: a brief report on the achievements and strategy

Abstract

The Norwegian network of drug information centres (RELIS) has achievements in person-centred and personalised medicine. RELIS receive questions from physicians, pharmacists, nurses and other health professionals and provide decision support in all aspects of pharmacotherapy. Questions associated with person-centred medicine often include problems with unrealistic risk perception and poor adherence among patients. Questions associated with personalised medicine frequently concern comorbidity, biomarkers and pharmacogenetics. The questions frequently include a mix of problems related to health and disease care. The RELIS staff addresses each question in a problem-oriented approach with expertise in pharmacology and skills in searching and critical evaluation of the literature. A written answer can describe decision support concerning patient empowerment, further diagnostics and preferences in pharmacotherapy including advice with regard to choice of drug and dose to a patient. Links to online resources and attached references for further reading are often included in the answers. The question-answer service is documented in a full-text, searchable question-answer database. Additional drug information activities towards clinicians and patients, and a multi-professional staff with pharmacists and clinical pharmacologists, are important elements in RELIS drug information strategy, and it is essentially relevant to predictive, preventive and personalised medicine (PPPM).

SafeMotherMedicine: Aiming to Increase Women’s Empowerment in Use of Medications During Pregnancy and Breastfeeding

“…As 15-20% of the enquiries from health care professionals to RELIS are requests of information on use of medications during pregnancy and lactation (RELIS 2019), the staff at RELIS has acquired extensive experience with searching for and providing teratology information. Importantly, RELIS promote person-centred and personalised medicine with both a holistic and biological perspective in their decision support, which is of relevance with regard to empowerment (Schjøtt 2019).…”

Ny bivirkningsforskrift gir undervisningsbehov

“…Nettverksmodellen inkluderer samarbeid om en felles nettside (www.relis.no), en database med 50 000 spørsmål/svar, ansvar for regionalt bivirkningsarbeid og kunnskapsbaserte oppdateringsvisitter (KUPP) i allmennpraksis (4). Sentrenes medisinsk og farmasøytisk kompetente personell tilrettelegger for persontilpasset medisin ved å gi beslutnings-og undervisningsstøtte i spørsmål om legemiddelbehandling og bivirkninger som kan omfatte komorbiditet, polyfarmasi, laboratorieresultater og farmakogenetikk (5). Nettverkets lokalisering i de fire helseregionene, rolle i legemiddelovervåkningen samt kontakt med primaerhelsetjenesten utgjør en ressurs med tanke på behovet for kompetanse og undervisning som følger ny bivirkningsforskrift.…”