Mertens Bram J, Kwint Henk-Frans, van Marum Rob J, Bouvy Marcel L
Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute for Pharmaceutical Sciences, University Utrecht, Utrecht, The Netherlands.
SIR Institute for Pharmacy Practice and Policy, Theda Mansholtstraat 5b, 2331 JE, Leiden, The Netherlands.
Int J Clin Pharm. 2019 Feb;41(1):104-112. doi: 10.1007/s11096-018-0749-y. Epub 2018 Nov 26.
Background Automated multidose drug dispensing is used to support patients with their medication management. Though multidose drug dispensing systems are frequently used, little is known about patients' experiences with multidose drug dispensing systems. Objective To explore patients' experiences with the initiation and use of multidose drug dispensing systems. Setting A survey was carried out with patients using multidose drug dispensing systems through three community pharmacies. Method A semi-structured interview protocol was designed based on existing literature and a pilot study. Main outcome measures The main outcome measures were (1) patients' experiences with initiating multidose drug dispensing systems and (2) patients' experienced advantages and disadvantages of multidose drug dispensing systems. Results The start of multidose drug dispensing was discussed with 76% of the patients (n = 62). Ninety percent of patients expressed the opinion that the multidose drug dispensing system supported them with their medication management. Sixty patients reported 110 advantages, which can be organized into the following categories: improved medication adherence and medication safety (59%); patient's convenience (40%); and other (1%). Sixty-nine percent of patients reported no disadvantages, 24% had problems opening the bags or outer packaging and 13% had problems with the legibility of the printed text on the bag. Conclusion In concordance with the Dutch guideline, patients are generally involved in the decision to initiate an multidose drug dispensing system. Patients are very satisfied using the system and report multiple advantages. Multidose drug dispensing systems may be further improved by simplifying the manual opening of the bags and improving the legibility of the text on the bags.
背景 自动多剂量药品调配用于协助患者进行药物管理。尽管多剂量药品调配系统被广泛使用，但对于患者使用该系统的体验却知之甚少。目的 探讨患者启动和使用多剂量药品调配系统的体验。地点 通过三家社区药房对使用多剂量药品调配系统的患者进行了一项调查。方法 基于现有文献和一项预试验设计了一份半结构化访谈提纲。主要结局指标 主要结局指标为：（1）患者启动多剂量药品调配系统的体验；（2）患者体验到的多剂量药品调配系统的优缺点。结果 76%的患者（n = 62）讨论了多剂量药品调配的启动情况。90%的患者表示，多剂量药品调配系统有助于他们进行药物管理。60名患者报告了110项优点，可归纳为以下几类：提高用药依从性和用药安全性（59%）；患者便利（40%）；其他（1%）。69%的患者表示没有缺点，24%的患者在打开袋子或外包装时有问题，13%的患者在袋子上打印文字的清晰度方面有问题。结论 与荷兰指南一致，患者通常参与启动多剂量药品调配系统的决策。患者对使用该系统非常满意，并报告了多项优点。可通过简化袋子的手动开启方式和提高袋子上文字的清晰度来进一步改进多剂量药品调配系统。
