{"id":696,"date":"2020-11-10T16:39:17","date_gmt":"2020-11-10T16:39:17","guid":{"rendered":"https:\/\/eaadd.eu\/?p=696"},"modified":"2020-11-30T12:46:26","modified_gmt":"2020-11-30T12:46:26","slug":"impact-of-the-automated-dose-dispensing-with-medication-review-on-geriatric-primary-care-patients-drug-use-in-finland","status":"publish","type":"post","link":"https:\/\/eaadd.eu\/en\/blog\/impact-of-the-automated-dose-dispensing-with-medication-review-on-geriatric-primary-care-patients-drug-use-in-finland\/","title":{"rendered":"Impact of the automated dose dispensing with medication review on geriatric primary care patients drug use in Finland"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"696\" class=\"elementor elementor-696\" data-elementor-settings=\"[]\">\n\t\t\t\t\t\t<div class=\"elementor-inner\">\n\t\t\t\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-92b7985 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"92b7985\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-98c1ded\" data-id=\"98c1ded\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ae86374 elementor-widget elementor-widget-text-editor\" data-id=\"ae86374\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p>Objective: In an automated dose dispensing (ADD) service, medicines are dispensed in unit- dose bags according to administration times. When the service is initiated, the patient\u2019s medication list is reconciled and a prescription review is conducted. The service is expected to reduce drug use. The aim of this national controlled study was to investigate whether the ADD service with medication review reduces drug use among geriatric primary care patients.<\/p><p><span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ); font-weight: var( --e-global-typography-text-font-weight ); font-size: 1rem;\">Design, setting and patients: This is a nationwide cohort study with matched controls. The study group consisted of all primary care patients !65 years enrolled in the ADD service in Finland during 2007 (n1\u204442073). Control patients (n1\u204442073) were matched by gender, age, area of patient\u2019s residence and number of the prescription drugs reimbursed. The data on all prescription drugs reimbursed during the 1 year periods before and after the ADD service enrollment were extracted from the Finnish National Prescription Register. Drug use was calculated as defined daily doses (DDD) per day.<\/span><\/p><p><span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ); font-weight: var( --e-global-typography-text-font-weight ); font-size: 1rem;\">Results: The studied 20 most used drugs covered 86% of all reimbursed drug use (in DDD) of the study group. The use of 11 out of these 20 active substances studied was reduced significantly (p &lt; .001\u2013.041) when the drug use was adjusted by the number of chronic diseases. Two of these drugs were hypnotics and six were cardiovascular system drugs.<\/span><\/p><p><span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ); font-weight: var( --e-global-typography-text-font-weight ); font-size: 1rem;\">Conclusions: Drug use was decreased after initiation of the ADD service in primary care patients !65 years compared to matched controls in this 1 year cohort study. Further studies should be conducted in order to explore the causality, assess the ADD service\u2019s impact on drug use quality and costs, as well as impact of accompanied prescription review on positive outcomes.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6c3cf2b elementor-widget elementor-widget-button\" data-id=\"6c3cf2b\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a href=\"https:\/\/eaadd.eu\/wp-content\/uploads\/2020\/11\/Impact.pdf\" target=\"_blank\" class=\"elementor-button-link elementor-button elementor-size-sm\" role=\"button\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Download full content<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Objective: In an automated dose dispensing (ADD) service, medicines are dispensed in unit- dose bags according to administration times. When the service is initiated, the patient\u2019s medication list is reconciled and a prescription review is conducted. The service is expected to reduce drug use. The aim of this national controlled study was to investigate whether [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":697,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v15.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Impact of the automated dose dispensing with medication review on geriatric primary care patients drug use in Finland - EAADD EN<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/eaadd.eu\/en\/blog\/impact-of-the-automated-dose-dispensing-with-medication-review-on-geriatric-primary-care-patients-drug-use-in-finland\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Impact of the automated dose dispensing with medication review on geriatric primary care patients drug use in Finland - EAADD EN\" \/>\n<meta property=\"og:description\" content=\"Objective: In an automated dose dispensing (ADD) service, medicines are dispensed in unit- dose bags according to administration times. When the service is initiated, the patient\u2019s medication list is reconciled and a prescription review is conducted. The service is expected to reduce drug use. The aim of this national controlled study was to investigate whether [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/eaadd.eu\/en\/blog\/impact-of-the-automated-dose-dispensing-with-medication-review-on-geriatric-primary-care-patients-drug-use-in-finland\/\" \/>\n<meta property=\"og:site_name\" content=\"EAADD EN\" \/>\n<meta property=\"article:published_time\" content=\"2020-11-10T16:39:17+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2020-11-30T12:46:26+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/eaadd.eu\/en\/wp-content\/uploads\/sites\/5\/2020\/11\/impact-of-automated.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"1568\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\">\n\t<meta name=\"twitter:data1\" content=\"1 minute\">\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebSite\",\"@id\":\"https:\/\/eaadd.eu\/en\/#website\",\"url\":\"https:\/\/eaadd.eu\/en\/\",\"name\":\"EAADD EN\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":\"https:\/\/eaadd.eu\/en\/?s={search_term_string}\",\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/eaadd.eu\/en\/blog\/impact-of-the-automated-dose-dispensing-with-medication-review-on-geriatric-primary-care-patients-drug-use-in-finland\/#primaryimage\",\"inLanguage\":\"en-US\",\"url\":\"https:\/\/eaadd.eu\/en\/wp-content\/uploads\/sites\/5\/2020\/11\/impact-of-automated.jpg\",\"width\":1200,\"height\":1568},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/eaadd.eu\/en\/blog\/impact-of-the-automated-dose-dispensing-with-medication-review-on-geriatric-primary-care-patients-drug-use-in-finland\/#webpage\",\"url\":\"https:\/\/eaadd.eu\/en\/blog\/impact-of-the-automated-dose-dispensing-with-medication-review-on-geriatric-primary-care-patients-drug-use-in-finland\/\",\"name\":\"Impact of the automated dose dispensing with medication review on geriatric primary care patients drug use in Finland - 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