A personalized medication management platform (PMMP) to improve medication adherence: A randomized control trial

作者：Huang Chu Ya; Phung Anh Alex Nguyen; Clinciu Daniel L; Hsu Chun Kung; Lu Jui Chia Richard; Yang Hsuan Chia; Wu Chieh Chen; Tsai Wen Chen; Chou Yueh Ching; Kuo Terry B J; Chang Po Lun; Jian Wen Shan; Li Yu Chuan Jack^*

来源：Computer Methods and Programs in Biomedicine, 2017, 140: 275-281.

DOI：10.1016/j.cmpb.2016.12.012

• Medication adherence
• Medication SMS reminder
• Healthcare cost
• Personalized medication management
• Mobile management

Objectives: Medication non-adherence caused by forgetting and delays has serious health implications and causes substantial expenses to patients, healthcare providers, and insurance companies. We assessed the effectiveness of a personalized medication management platform (PMMP) for improving medication adherence, self-management medication, and reducing long-term medication costs.
Methods: We developed a mobile PMMP to reduce delayed and missed medications. A randomized control trial was conducted of three medical centers in Taiwan. A total 1198 participants who aged over 20 years, received outpatient prescription drugs for a maximum period of 14 days. 763 patients were randomly assigned to intervention group as receiving daily SMS reminders for their medications and 434 patients in control group did not. The primary outcome was change in delaying and forgetting medication between before and after intervention (after 7 days).
Results: Medication delays were reduced from 85% to 18% (67% improvement) after SMSs for the intervention group and from 80% to 43% (37% improvement) for the control group. Patients forgot medications were significantly reduced from 46% to 5% (41% improvement) for the experimental group after SMSs and from 44% to 17% (27% improvement) for the control group. The SMSs were considered helpful by 83% of patients and 74% of them thought SMSs help in controlling diseases. 92% of patients would recommend this system to their family and friends.
Conclusions: A timely and personalized medication reminder through SMS can improve medication adherence in a nationalized healthcare system with overall savings in medication costs and significant improvements in health and disease management.

• 出版日期2017-3
• 单位中国医科大学