The weekly magazine “le Moniteur des pharmacies” issue no. 3060 dated December 13th, 2014 published an article on the experiment carried out by the Lower-Normandy URPS and Medissimo called “Improvement of treatment adherence among elderly patients at home”.
The title speaks for itself “Lower-Normandy: a conclusive experiment on Prepared Treatment” (translation below)
” A conclusive experiment on Prepared Treatment
In the Lower-Normandy region, from January to April 2014, 44 dispensaries took part in an experiment on treatment preparation (PDA) for 202 outpatients aged 75 and over with prescriptions of five different drugs or more. Supported by the Regional Health agency, they received a subsidy from the regional action fund to provide the pharmacists with one euro per day and per patient during the experiment.
During the first month, known as the “reference” month, the prescriptions were filled as usual in standard boxes and packaging. After the first month, the patient returned the packages which were checked to see and record exactly which drugs had been taken. Then over the following three months, the pharmacists provided the treatment, pre-prepared in pill boxes, with four one-week pill boxes per month. At the end of each month the patient returned the pill boxes to the pharmacist who checked which drugs had been taken or “forgotten”.
“Prepared treatment in secure pill boxes improved the adherence of this elderly, home based population who are over medicated in comparison to those in nursing homes and have a low medication adherence (71%). Their adherence rose to 98% in the first month and remained at this level throughout to the experiment”, explains Claude Baroukh, secretary general of FSPF, in charge of the project and an elected member of the URPS in Lower-Normandy, who sent the final results of this experiment to the head of the French social security organization.
Open the road towards lasting compensation
For the intake times studied, adherence was 99% in the morning, 98% in the evening, 97% at bedtime and 96% at lunchtime.
This experiment opens up the road to a paid service. According to Claude Baroukh, the pharmacist’s role, in helping to reduce the number of iatrogenic accidents, saves money which should make it possible to pay for this service. François Pouzaud “
For more information on the results of this experiment, check out the following presentation.