Medication Adherence is a pressing issue in the healthcare setting. New advances in technology using mobile apps and smart devices are now changing the way we approach assessing patients medication adherence. However, this shift also allows a new chance to be engaged with patients regarding their medications and offers the opportunity to be more aware of medication related issues.
Drug Information Services, Drug information Sources, Illegal DIC, Drug Information Bulletin, Classification of scientific literature, services offered bu drug information services
Role of the pharmacist in medication safety.Subash321
Role of the pharmacist in medication safety. In this you know about the medication safety, medication error & how to prevent medication error. And the role of the pharmacists in medication safety.
Drug Information Services, Drug information Sources, Illegal DIC, Drug Information Bulletin, Classification of scientific literature, services offered bu drug information services
Role of the pharmacist in medication safety.Subash321
Role of the pharmacist in medication safety. In this you know about the medication safety, medication error & how to prevent medication error. And the role of the pharmacists in medication safety.
Formulary is an official or authorised publication of an approved list of medicines for use in a hospital, a group of hospitals a society a state or a region a country or a number of countries.
Hospital Formulary is a continually revised compilation of pharmaceuticals dosage agents and their forms that reflects the current clinical view of the medical staff.
Drug distribution is one of the basic service provided by the hospital pharmacy.
Drug distribution system falls in to 3 categories -
1)Ward – controlled system
2)Pharmacy controlled imprest based system
3)Pharmacy controlled patient issue system
DRUG INFORMATION SERVICE AND DRUG INFORMATION BULLETINSHIVANEE VYAS
"Drug information center is one of the departments of the hospital and gives the recent knowledge and information about the medical, pharmacy field at any time to the physicians, staff of the hospital and to the citizens”.
Health Insurance Portability & Accountability Act (HIPAA)Arpitha Aarushi
This presentation contains all the information about the HIPAA, the Privacy rule and its clinical significance. It also contains the information about the violation of the HIPAA policy.
Team Lift: Predicting Medication AdherenceNeil Ryan
Medication adherence is a growing public health concern in the US. It is the extent to which patients are taking medications as prescribed by their healthcare providers. Simply put, are patients eating their pills on time?
We looked at patient data from Medicare part D program released by Centers for Medicare & Medicaid services. We built a prediction model to ascertain whether a patient would be adherent based on a variety of social, economic and behavioral aspects.
Formulary is an official or authorised publication of an approved list of medicines for use in a hospital, a group of hospitals a society a state or a region a country or a number of countries.
Hospital Formulary is a continually revised compilation of pharmaceuticals dosage agents and their forms that reflects the current clinical view of the medical staff.
Drug distribution is one of the basic service provided by the hospital pharmacy.
Drug distribution system falls in to 3 categories -
1)Ward – controlled system
2)Pharmacy controlled imprest based system
3)Pharmacy controlled patient issue system
DRUG INFORMATION SERVICE AND DRUG INFORMATION BULLETINSHIVANEE VYAS
"Drug information center is one of the departments of the hospital and gives the recent knowledge and information about the medical, pharmacy field at any time to the physicians, staff of the hospital and to the citizens”.
Health Insurance Portability & Accountability Act (HIPAA)Arpitha Aarushi
This presentation contains all the information about the HIPAA, the Privacy rule and its clinical significance. It also contains the information about the violation of the HIPAA policy.
Team Lift: Predicting Medication AdherenceNeil Ryan
Medication adherence is a growing public health concern in the US. It is the extent to which patients are taking medications as prescribed by their healthcare providers. Simply put, are patients eating their pills on time?
We looked at patient data from Medicare part D program released by Centers for Medicare & Medicaid services. We built a prediction model to ascertain whether a patient would be adherent based on a variety of social, economic and behavioral aspects.
HXR 2016: The Health IoT: Remote Care and Mobile Solutions -Andrew Hooge, Val...HxRefactored
Through new telehealth technologies and increased data analysis physicians are gaining insights into patients like never before, allowing them to facilitate early interventions, improve adherence, and reduce readmission rates -- not to mention at a price more affordable than ever. The companies you’ll hear from in this session are using a healthy and innovative mix of data, educational tools, sensors, and more to improve patient outcomes.
Non-adherence to medicines is a major health care cost and quality problem, with numerous studies showing high rates of non-adherence directly related to poor clinical outcomes, high health care costs, and lost productivity. Adherence to therapy is especially important for management of chronic diseases, such as diabetes, heart disease and cancer. It has been estimated that 40 to 50% chronic disease patients are non-adherent to their prescribed treatment.
We chose to address the issue of misinformation with the general public when it comes to the crime and its patterns in the Hartford region. Dataset which we chose for this is from the publicly available Police Incidents registered in Hartford area from 2005 till date with the time stamp. Pattern of the crime can be analyzed like e.g. Robbery incidents mainly happen during holiday season. Using the API we built a live tableau dashboard and also forecasted the drug offenses as per neighborhood.
LPT - Adherence To Medication And Appointments (Sept07)Alex J Mitchell
This is an academic talk on the evidence base behind adherence (difficulty taking) prescribed medication. I gave this as a small talk from the local NHS trust in 2007.
Global Trends in e-Health and Medication Adherence by Yuri Quintana, Ph.D. 1...Harvard Medical School
This presentation provides an overview of global health trends and medication adherence challenges. A review of some mobile medication adherence solutions is given. A discussion is provided on some early observations from usability studies. Future design considerations for medication adherence systems are discussed.
Application Development for Medication Tracker.pdfTechugo
Research shows that medication non-adherence accounts for around 100 billion avoidable medical expenses and 125,000 deaths annually. In addition, patients with chronic conditions such as diabetes or hypertension will struggle to remember to take their medication.
Application Development for Medication Tracker- Guidelines, Features, and Cos...Techugo
A medication tracker app can be a game-changer for individuals who need to keep track of multiple medications. The app can provide reminders for taking medication, store information about dosages, and even alert a caretaker or doctor if doses are missed. With the help of an application development company, businesses can provide a valuable tool for their clients to improve their health and manage their medications with ease.
Digital Health - Hypertension Case StudySatnam Bains
For Digital Health to be effective, we need more than technology. We need the right service re-design from a clinical perspective, and support for patients to improve their health literacy, and achievable goals to facilitate long term behaviour change. Only then can we enter into the realm and much sought after nirvana of preventative health. This presentation was created by the CEO of Health Fabric and a set of clinicians to share their knowledge around a case study around hypertension management.
Medication Administration Software Features, Benefits, and More.pdfTechugo
The need to ensure that prescriptions are properly taken is increasing, with over 4 billion filled annually in the United States. As a result, medication management is becoming more critical than ever, with the potential for dangerous drug interactions and a wide range of over-the-counter options.
Medication tracking can be used to monitor medication use and prevent adverse interactions. The software allows doctors from multiple specialties to collaborate and access patient records. They can also discover which medications a patient has been prescribed. Know more by visiting the blog.
Medication administration software is a powerful tool that streamlines the process of administering medication to patients. Our software is designed to enhance patient safety by reducing medication errors and improving accuracy. Our medication administration software automates the medication administration process, tracks medication orders, and alerts healthcare professionals when medication is due. It also provides real-time patient data to healthcare providers, enabling them to make informed decisions about patient care. Our software is user-friendly, customizable, and designed to meet the unique needs of healthcare facilities. Contact us today to learn more about our medication administration software and how it can improve patient care.
Patient Engagement Software: How is it Evolving & Transforming HealthcareEMed HealthTech Pvt Ltd
Patient engagement software plays a significant role in transforming healthcare. As technology advances, these solutions are becoming more effective.
The healthcare industry is integrating these solutions. It can lead to better outcomes for the patients as well as doctors. It leads to better interactions and an overall reduction in costs.
If you want reliable patient engagement software, we, at EMed HealthTech, can help. EMed HealthTech is a leading custom healthcare software development company.
We have a proven track record in healthcare app development. We focus on innovative and user-friendly healthcare software. You can enhance patient engagement and improve healthcare delivery, with EMed HealthTech.
Improving Healthcare App Development Reasons Why You Should Invest in it.pdfTechugo
The Mobile healthcare app development company allows the user to not only manage patients’ care better but also enable them to monitor operational efficacy in clinics and hospitals.
Patients will be satisfied with long lines because you have stopped the experience of using the emergency clinic app culture and medical services with mobile application patterns.
Improving Healthcare App Development- Reasons Why You Should Invest in it.Techugo
Customers are looking for ways to find different specialists in their fields (including prescriptions and medicine), so the healthcare industry is searching for innovative approaches to make things more efficient.
It is common to combine healthcare services with cell phones and innovation. For example, 47.526 iOS Human service apps and 325,000 mHealth Android apps exist. This is why all healthcare specialists must shift towards the mobile economy.
The Mobile healthcare app development company allows the user to not only manage patients’ care better but also enable them to monitor operational efficacy in clinics and hospitals.
Empowering Healthcare: The Evolution of Healthcare App Development ServicesElina619459
In today's digital age, healthcare is no longer limited to traditional brick-and-mortar clinics and hospitals. The advent of healthcare app development services has ushered in a new era of accessible, efficient, and patient-centric healthcare solutions. These applications have transformed the way patients interact with healthcare providers, manage their health, and access vital medical information.
Improving Healthcare App Development Reasons Why You Should Invest in it.pdfTechugo
In today's digital age, healthcare app development is a rapidly growing industry that offers immense potential for healthcare providers and patients alike. By investing in healthcare app development, healthcare providers can improve patient engagement, streamline medical procedures, and enhance the overall quality of healthcare delivery. With the use of advanced technologies such as AI and blockchain, healthcare apps can also provide personalized treatment plans, secure medical data sharing, and real-time remote monitoring. Investing in healthcare app development can help healthcare providers stay ahead of the curve and meet the evolving needs of patients in the modern era.
The Complete Guide to Wellness Software DevelopmentMentorMate
Healthcare. It’s just one word, but it feels like over a hundred problems and potential solutions spun up like a spider web — benefits, cost savings and improvements are stuck together without being truly connected.
How Healthcare App Development Helps Doctors and Patients.pdfTechugo
Apps for doctors are changing how they work and the healthcare industry. Healthcare providers will likely engage in mobile app development for healthcare that provides convenience to their patients. Healthcare apps for doctors simplify the interactions between experts and patients. They also give easy access to patient and medical data and encourage collaboration among healthcare professionals. Doctors can use many types of medical apps to solve different problems. Understanding the healthcare app market is the first step to finding answers. This blog will explain the basics of app development as well as the importance of medical apps for doctors and patients.
Unprecedented Technological Trends Push the Envelope in Life SciencesCognizant
The life sciences and pharmaceuticals industry is facing startling digitizational changes on many levels, with these five key technology trends setting the pace: bundling products and services, edge analytics, human augmentation, automation and AI, and patient data ownership.
How Healthcare App Development Helps Doctors and Patients.Techugo
Sometimes, the patient needs to remember to make an appointment with their doctor. This can cause delays in the delivery of healthcare services by the doctor. A mobile healthcare applications by healthcare app development company allows patients to schedule appointments from their phones. For planning and forecasting tasks, hospitals can also use scheduling software to schedule staff.
The Ultimate Guide to Healthcare App Development.pdfLucy Zeniffer
Planning to build a healthcare application? Here is your expert’s guide on steps to build a healthcare app, including types, features, and benefits of healthcare applications.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
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Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
2. Drugs Don’t Work in
Patients Who Don’t
Take Them.
–
C. Everett Koop, M.D.
3. Breaking Down Medication Adherence
Reasons for NonAdherence
Self Discontinuation of Medication – Dose Adjustments –
Cognitive Decline – Concerns on SE/ADRs – Fear of
Addition – Cost – Trust b/n Patient and Provider –
Regimen Complexity – Psychological Status – Over-
Utilization of Medications – Health Literacy –
PolyPharmacy – Unclear Instructions – Multiple
Providers – Medication Reconciliation – Med Errors –
Social Stigma – Failure To Communicate – Many More.
Traditional Means of Assessing Adherence
Categorizing NonAdherence
1
2
3
4
5
Socio/Economic
Health System
Condition Related
Therapy Related
Patient Related
Pill Counts – Surveys – Blood Tests – Measurement of
Physiologic Markers – Blood Markers – Pill Counts –
Medication Refills – Clinical Response – Patient Diaries
Osterberg & Blashke (2005)
4. New Forms of Medication Adherence Interventions
Smart Pill Bottles
Mobile Apps
Ingestible Pill Sensors
Multi-Dose Delivery
The pill bottle has been
upgraded to alert patients
when to take their
medications and let
providers know when the
medications have been
utilized.
Leveraging the smartphone for
medication reminders has never
been easier due to the fact most
users rarely leave home without
it. Same may not be said about
the patients drugs though.
The MDD system is a
relatively old process in
pharmacy, but is making a
comeback as a specially
packaged patient kit
through the use of mail-
order and the Internet.
A new comer to the market, the
ingestible pill comes complete
with a biosensor that alerts users
and providers when a medication
is taken and reaches the
gastrointestinal tract.
5. Mobile Apps – Leveraging the Smartphone
How many Apps?!
Since the rise of the smartphone, there has been a deluge in the number
of medical and healthcare related apps on the market…
App Features:
- Pill Reminders/Alarms
- Scheduled Pill Intake
- Pharmacy Sync
- Data Log
- Patient Diary
- Record SE/ADR
- Cloud Data Sync
- Refill Reminders
Over
20,000
Medical
Apps!
However, a study by Dayer and
Colleagues (2013) identified only 160
apps of interest related to medication
adherence. Still, that is a lot.
The authors created a criteria for
identifying key features to look for in
an app for medication adherence,
and identified only a small number of
apps that would be beneficial.
The issue with Mobile Apps
Apps are appealing for patients as they allow the
user to personally set up their schedule. However,
depending on design this can be a cumbersome
endeavor. Apps are also a poor form of patient
adherence measurement as it is an indirect tool,
and will not benefit most providers or
researchers
Pros:
Cons:
- Cheap
- Easily Accessible
- Cross Platform
Support
- Integration with
Personal Pharmacy
- Multiple Drug Related
References Included
- Indirect Measurement
- Security Issue
- User Dependent
- Many Apps Available
6. Smart Pill Bottles – Rethinking the Amber Vial
Example Companies:
AdhereTech – GlowCaps - Pharm
Assistant – RxAdvance – Kickstarter
So What’s So Different?
10 mg
Cheaper technology, widespread internet connection and integration of
Bluetooth has led to the ability to essentially make any device integrated
and ‘Smarter.’ This isn’t your grandparents pill bottle.
How Does it Work?
The overall idea is that the pill bottle is equipped
with sensors that detect when a medication is
removed (the cap or a weight sensor), and then
sends a message to the app or associated
person of interest that the medication has been
removed. The assumption I that the patient took
it then.
Pros:
Cons:
- Familiar to Patient
- Integration with
Mobile
- Patient Feedback
- Possible Integration
with Pharmacy
- Alerts Providers &
Researchers
- Setup Complication
- Cost
- Needs Wireless
- Indirect Measurement
Beyond the Pill Bottle
Companies and Start-ups are exploring creating
smart pill boxes and pill trays rather than just the
pill bottle. These Smart Stations have other
features such call call features and message
screens that expand standard capabilities.
7. Ingestible Pill Sensors – Now That’s Advanced
Science Meets Medication Tracking
Now this new piece of technology is leveraging the advances made in
biosensors. Essentially, as the sensor is ingested, it breaks down in the
gastrointestinal tract and sends an alert.
Example Companies:
Proteus Digital Health - eTect Bio
Pros:
Cons:
- Direct Measurement of
Medication Intake
- Integration with Mobile
- Patient Feedback
- Possible Integration with
Pharmacy
- Alerts Providers &
Researchers
- Costly
- Logistical Preparation
- Needs Wireless
- Low Widespread Adoption
The Setup
The patient wears an external sensor
attached to the abdomen, that will
pick up the alert from the pill
breakdown. This is then transferred to
an app or provider to alert those
involved that the patient has taken
their medication. Data includes time of
intake and possibly what medication.
Two Different Mechanics
Currently, a patient must either take a
separate sensor, or a capsule that
includes the medication inside.
8. Multi-Dose Delivery - Old Tools in a Digital Age
Example Companies:
PillPack – Integrated Health Information
Systems (IHIS) - Parata – Phillips
Medido – Xubex – Independent
Pharmacies
Pros:
Cons:
- Mail-Order
- Patient Friendly
Utilization
- Good for chronic
disease management
- Logistical Setup
- No Immediate Changes
- Indirect Measurement
Sometimes Simplicity is Easiest
Multi-Dose Delivery Systems are an old tool to package
and dispense medications for patients via strip
packaging. Their home has customarily been in Health
Systems or Long-Term Care, but they are seeing a
resurgence as a possible simplified mechanism to deliver
medications to patients.
Why Now?
A convergence between patients increased use in the
mobile market, acceptance of mail-order and online
delivery methods (thank you Amazon), refinement of
Pharmacy automaton, E-Prescribing, and integration of
online customer support have allowed the ability for
pharmacies to package and deliver MDD services to
patients over a wide area.
9. Which Intervention Should Patients Use?
Smart Pill Bottles
Mobile Apps
Ingestible Pill Sensors
Multi-Dose Delivery
Good For: Patients looking
for an upgraded bottle that
can sync with mobile
devices and beep at them.
Pill stations offer more
services which patient may
desire.
Bad For: Patients who do
not want another piece of
technology clogging up
their medicine cabinet.
Good For: Patients looking for a
concise medication reminder
platform.
Bad For: Patients that need help
with medication organization or
direct clinical support.
Good For: Patients on a
stable medication regimen
looking for a way to easy
way to schedule their meds
through the day and like
mail-order.
Bad For: Patients with
rapidly changing disease
states.
Good For: Patients involved with
clinical studies, want immediate
feedback on ingestion of
medications.
Bad For: Patients who don’t like
wearing sensors.
10. Which Intervention is Beneficial for Research?
Indirect Assessment
Direct Assessment
Pros: Potentially easily to integrate
into current medical research as
similar to current pill bottles used in
clinical trials. Pill bottles may also be
programmed to remind patient to
take their medications for feedback.
Pros: Depending on sensor, can
directly measure patient ingestion of
medication. No reliance on specific
medication organization, and may
better identify true patient regimen.
Cons: Can not directly verify patient
did indeed ingest the medication.
Set-up and need for patient
connection through wireless services.
Cons: Patients required to wear
external sensor in order to function.
Depending on sensor, may require
larger overhead of preparation of
individual medication. Again, reliance
on patient access to services.
11. My Ideal Combination
MDD supplies patient with clear
and concise regimen reviewed
by providers
Ingestible Sensor inserted into Strip
Packaging to provide alerts of medication
Intake
Patient supplied with easily accessible
means of taking medications and can
give feed back to providers
Provider receives alerts on
patient medication intake and
can identify any issues
App platform for
patients and providers
to communicate
through and for patient
to identify any new
problems w/ therapy
12. Upcoming Disruptive Developments
Wearable Integration
Undoubtedly, we will see a
number medication reminders
on smartphones migrate to
wearable devices to provide
similar services. Other potential
results would include
integration with other smart
adherent tools identified as
well.
Gamification Mechanics
Motivating patients to be
adherent to their medications
is an area of interest, especially
it if it can increase consumer
demand and branding. This
includes financial incentives or
membership offers for
participation in the brands
programs.
Drug Device Integration
New sensors are coming to
the market that are meant to
partner with medical devices
(e.g. Inhalers, EpiPens) and
improve functions and make
them ‘Smarter’
Financial Rewards
Store Points
Discounts
13. Technology Alone Won’t Solve Adherence
Technology is Only One
Component to Increasing
Medication Adherence
If patient’s were only forgetting
to take their medications, we
would have solved the issue of
adherence long ago. As
mentioned earlier, taking
medications can be a
complicated endeavor for
patients, and quite frankly is a
difficult issue to tackle. Using
technology may be beneficial
for some patients, and needs
to be addressed on a case-by-
case basis. It is unlikely that
any of the prior mentioned
tools will address all a patients
wants or needs, and that each
intervention may only be
beneficial for select patients.
Engagement and
Communication with
Patients is Key
The beauty of all of this new
technology coming to market
is that it can really push the
paradigm of patient
engagement regarding
medication use. No longer
restrained to office visits,
mobile technology has
offered the ability to
communicate with patients
outside of the clinic and in the
community setting, where
they belong. If technology can
help keep them there, and
can help bridge the gap
between patient and
providers and also empower
patients, then it should be an
option.
Expect More
Disruption to Come
Your Way
Medication Adherence is a
huge area of interest for
multiple parties. Yes patient
care is number one and
improving quality of life. But
lets be frank, its also a
money making area
depending on how you
approach it. So expect new
developments from the
tech industry, start-ups, and
innovators looking to make
it big in the realm of
healthcare. Because if
nothing else, someone
needs to take their drugs
and someone wants to help
them do it.