Haugbølle Lotte S, Herborg Hanne
Faculty of Pharmacy, Department of Pharmacology and Pharmacotherapy. Copenhagen University . Copenhagen ( Denmark ).
Director R&D, Pharmakon. Hillerød ( Denmark ).
Pharm Pract (Granada). 2009 Oct;7(4):185-94. doi: 10.4321/s1886-36552009000400001. Epub 2009 Mar 15.
To describe the practice, education and research concerning medication adherence in Danish community pharmacy.
The authors supplemented their expertise in the area of medication adherence through their contacts with other educators and researchers as well as by conducting searches in the Danish Pharmacy Practice Evidence Database, which provides annually updated literature reviews on intervention research in Danish pharmacy practice.
Medication adherence is the focus of and/or is supported by a large number of services and initiatives used in pharmacy practice such as governmental funding, IT-supported medicine administration systems, dose-dispensing systems, theme years in pharmacies on adherence and concordance, standards for counselling at the counter, pharmacist counselling, medication reviews and inhaler technique assessment. Education: In Denmark, pharmacy and pharmaconomist students are extensively trained in the theory and practice of adherence to therapy. Pharmacy staff can choose from a variety of continuing education and post-graduate programmes which address patient adherence.
Nine ongoing and recently completed studies are described. Early research in Denmark comprised primarily smaller, qualitative studies centred on user perspectives, whereas later research has shifted the focus towards larger, quantitative, controlled studies and action-oriented studies focusing on patient groups with chronic diseases (such as diabetes, asthma, coronary vascular diseases).
Our analysis has documented that Danish pharmaceutical education and research has focused strongly on adherence to treatment for more than three decades. Adherence initiatives in Danish community pharmacies have developed substantially in the past 5-10 years, and, as pharmacies have prioritised their role in health care and patient safety, this development can be expected to continue in future years.
描述丹麦社区药房中关于药物依从性的实践、教育和研究情况。
作者通过与其他教育工作者和研究人员的联系，以及在丹麦药房实践证据数据库中进行检索，补充了他们在药物依从性领域的专业知识。该数据库每年提供丹麦药房实践干预研究的文献综述更新。
药物依从性是药房实践中大量服务和举措的重点或得到其支持，如政府资助、信息技术支持的药物管理系统、剂量调配系统、药房关于依从性和一致性的主题年、柜台咨询标准、药剂师咨询、药物审查和吸入器技术评估。教育：在丹麦，药学和药剂学专业学生在治疗依从性的理论和实践方面接受了广泛培训。药房工作人员可以从各种针对患者依从性的继续教育和研究生课程中进行选择。
描述了九项正在进行和最近完成的研究。丹麦早期的研究主要包括以用户视角为中心的较小规模的定性研究，而后期的研究则将重点转向了更大规模的定量对照研究以及针对慢性病患者群体（如糖尿病、哮喘、冠状动脉疾病）的以行动为导向的研究。
我们的分析表明，丹麦的药学教育和研究在三十多年来一直高度关注治疗依从性。丹麦社区药房的依从性举措在过去5至10年中有了显著发展，并且随着药房将其在医疗保健和患者安全方面的作用列为优先事项，预计这一发展在未来几年还将持续。
