Effectiveness of the personalized dosing service in polymedicated patients

Resumen

Objectives: to know the factors that affect therapeutic adherence and those toolsthat can reduce the percentage of therapeutic non-compliance from the communitypharmacy, such as personalized dosing systems, or to identify possible issues relatedto medications that negatively influence in adherence.Design and materials: review of scientific articles.Methods: scientific articles published on scientific bases are selected. In an initialscreening, those that present the following filters are included: “review”, “full text”,“15 years”, “humans”. Those that are not related to the topic or show duplication ofinformation are excluded.Results: 9 articles are selected. The possible factors that affect therapeutic adherencewere demonstrated, and the common profile of a multi-pathological patient aged over65 was provided. Among the possible factors that can reduce adherence, it highlightsthe treatment plan itself, due to its complexity and the large number of medications.On the other hand, tools available to improve therapeutic adherence are examined,such as personalized dosing systems or Stopp/Start criteria, used to detect problemsrelated to medicines.Conclusions: There are different factors that affect therapeutic adherence, as thevery complexity of the treatment. Customized dosing systems have a positive trendto increase adhesion. Stopp Start criteria detect problems related to medications thatdecrease adherence.