Lääkkeiden koneellisen annosjakelun kehittämistarpeet avoterveydenhuollossa

Antti Mäntylä, Sinikka Sihvo, Jaana Isojärvi, Juha Sinnemäki, Marja Blom, Marja Sisko Anneli Airaksinen

Tutkimustuotos: ArtikkelijulkaisuArtikkeliTieteellinenvertaisarvioitu

Kuvaus

Automated dose dispensing (ADD) is a service in which a pharmacy dispenses regularly used medicines as machine-packed unit doses for each time of administration. The service has been used in primary healthcare in Finland since 2002. ADD has been supposed to enhance patient safety, decrease medication costs and save nurses’ working time in primary healthcare. The first systematic review was recently conducted to evaluate the outcomes of ADD. A literature search of the most relevant databases was performed in April 2012. The goal of this paper is to briefly introduce the main results of the published systematic review and to describe the development needs of ADD services inFinnish primary healthcare.

The systematic review concluded that a very limited number of studies have explored ADD in primary healthcare. Consequently, it is hard to evaluate the benefits of the service. The findings of the systematic review indicate that patients using ADD may have more potentially inappropriate drugs in their drug regimens. This is in line with the nature of ADD as a risk management tool for high risk patients with multiple diseases and multiple medications. Therefore, medication review should always be integrated as a part of the ADD service procedure. The ADD service in Finland still has various practical and system level challenges in implementation. The most topical of the challenges relates to the costs of the service and how they should be divided between different stakeholders. Solving this problem requires cooperative action.
Alkuperäiskielisuomi
LehtiSuomen lääkärilehti
Vuosikerta68
Numero46
Sivut3014-3018a
Sivumäärä6
ISSN0039-5560
TilaJulkaistu - 2013
OKM-julkaisutyyppiA1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä, vertaisarvioitu

Tieteenalat

  • 317 Farmasia

Lainaa tätä

Mäntylä, Antti ; Sihvo, Sinikka ; Isojärvi, Jaana ; Sinnemäki, Juha ; Blom, Marja ; Airaksinen, Marja Sisko Anneli. / Lääkkeiden koneellisen annosjakelun kehittämistarpeet avoterveydenhuollossa. Julkaisussa: Suomen lääkärilehti. 2013 ; Vuosikerta 68, Nro 46. Sivut 3014-3018a.
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abstract = "Automated dose dispensing (ADD) is a service in which a pharmacy dispenses regularly used medicines as machine-packed unit doses for each time of administration. The service has been used in primary healthcare in Finland since 2002. ADD has been supposed to enhance patient safety, decrease medication costs and save nurses’ working time in primary healthcare. The first systematic review was recently conducted to evaluate the outcomes of ADD. A literature search of the most relevant databases was performed in April 2012. The goal of this paper is to briefly introduce the main results of the published systematic review and to describe the development needs of ADD services inFinnish primary healthcare.The systematic review concluded that a very limited number of studies have explored ADD in primary healthcare. Consequently, it is hard to evaluate the benefits of the service. The findings of the systematic review indicate that patients using ADD may have more potentially inappropriate drugs in their drug regimens. This is in line with the nature of ADD as a risk management tool for high risk patients with multiple diseases and multiple medications. Therefore, medication review should always be integrated as a part of the ADD service procedure. The ADD service in Finland still has various practical and system level challenges in implementation. The most topical of the challenges relates to the costs of the service and how they should be divided between different stakeholders. Solving this problem requires cooperative action.",
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author = "Antti M{\"a}ntyl{\"a} and Sinikka Sihvo and Jaana Isoj{\"a}rvi and Juha Sinnem{\"a}ki and Marja Blom and Airaksinen, {Marja Sisko Anneli}",
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Lääkkeiden koneellisen annosjakelun kehittämistarpeet avoterveydenhuollossa. / Mäntylä, Antti; Sihvo, Sinikka; Isojärvi, Jaana; Sinnemäki, Juha; Blom, Marja ; Airaksinen, Marja Sisko Anneli.

julkaisussa: Suomen lääkärilehti, Vuosikerta 68, Nro 46, 2013, s. 3014-3018a.

Tutkimustuotos: ArtikkelijulkaisuArtikkeliTieteellinenvertaisarvioitu

TY - JOUR

T1 - Lääkkeiden koneellisen annosjakelun kehittämistarpeet avoterveydenhuollossa

AU - Mäntylä, Antti

AU - Sihvo, Sinikka

AU - Isojärvi, Jaana

AU - Sinnemäki, Juha

AU - Blom, Marja

AU - Airaksinen, Marja Sisko Anneli

PY - 2013

Y1 - 2013

N2 - Automated dose dispensing (ADD) is a service in which a pharmacy dispenses regularly used medicines as machine-packed unit doses for each time of administration. The service has been used in primary healthcare in Finland since 2002. ADD has been supposed to enhance patient safety, decrease medication costs and save nurses’ working time in primary healthcare. The first systematic review was recently conducted to evaluate the outcomes of ADD. A literature search of the most relevant databases was performed in April 2012. The goal of this paper is to briefly introduce the main results of the published systematic review and to describe the development needs of ADD services inFinnish primary healthcare.The systematic review concluded that a very limited number of studies have explored ADD in primary healthcare. Consequently, it is hard to evaluate the benefits of the service. The findings of the systematic review indicate that patients using ADD may have more potentially inappropriate drugs in their drug regimens. This is in line with the nature of ADD as a risk management tool for high risk patients with multiple diseases and multiple medications. Therefore, medication review should always be integrated as a part of the ADD service procedure. The ADD service in Finland still has various practical and system level challenges in implementation. The most topical of the challenges relates to the costs of the service and how they should be divided between different stakeholders. Solving this problem requires cooperative action.

AB - Automated dose dispensing (ADD) is a service in which a pharmacy dispenses regularly used medicines as machine-packed unit doses for each time of administration. The service has been used in primary healthcare in Finland since 2002. ADD has been supposed to enhance patient safety, decrease medication costs and save nurses’ working time in primary healthcare. The first systematic review was recently conducted to evaluate the outcomes of ADD. A literature search of the most relevant databases was performed in April 2012. The goal of this paper is to briefly introduce the main results of the published systematic review and to describe the development needs of ADD services inFinnish primary healthcare.The systematic review concluded that a very limited number of studies have explored ADD in primary healthcare. Consequently, it is hard to evaluate the benefits of the service. The findings of the systematic review indicate that patients using ADD may have more potentially inappropriate drugs in their drug regimens. This is in line with the nature of ADD as a risk management tool for high risk patients with multiple diseases and multiple medications. Therefore, medication review should always be integrated as a part of the ADD service procedure. The ADD service in Finland still has various practical and system level challenges in implementation. The most topical of the challenges relates to the costs of the service and how they should be divided between different stakeholders. Solving this problem requires cooperative action.

KW - 317 Farmasia

M3 - Artikkeli

VL - 68

SP - 3014-3018a

JO - Suomen lääkärilehti

JF - Suomen lääkärilehti

SN - 0039-5560

IS - 46

ER -