eHealth in the future of medications management: personalisation, monitoring and adherence

BACKGROUND: Globally, healthcare systems face major challenges with medicines management and medication adherence. Medication adherence determines medication effectiveness and can be the single most effective intervention for improving health outcomes. In anticipation of growth in eHealth interventi...

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Main Authors: Car, Josip, Tan, Woan Shin, Huang, Zhilian, Sloot, Peter, Franklin, Bryony Dean
Other Authors: Interdisciplinary Graduate School (IGS)
Format: Journal Article
Language:English
Published: 2017
Subjects:
Online Access:https://hdl.handle.net/10356/83603
http://hdl.handle.net/10220/42701
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author Car, Josip
Tan, Woan Shin
Huang, Zhilian
Sloot, Peter
Franklin, Bryony Dean
author2 Interdisciplinary Graduate School (IGS)
author_facet Interdisciplinary Graduate School (IGS)
Car, Josip
Tan, Woan Shin
Huang, Zhilian
Sloot, Peter
Franklin, Bryony Dean
author_sort Car, Josip
collection NTU
description BACKGROUND: Globally, healthcare systems face major challenges with medicines management and medication adherence. Medication adherence determines medication effectiveness and can be the single most effective intervention for improving health outcomes. In anticipation of growth in eHealth interventions worldwide, we explore the role of eHealth in the patients' medicines management journey in primary care, focusing on personalisation and intelligent monitoring for greater adherence. DISCUSSION: eHealth offers opportunities to transform every step of the patient's medicines management journey. From booking appointments, consultation with a healthcare professional, decision-making, medication dispensing, carer support, information acquisition and monitoring, to learning about medicines and their management in daily life. It has the potential to support personalisation and monitoring and thus lead to better adherence. For some of these dimensions, such as supporting decision-making and providing reminders and prompts, evidence is stronger, but for many others more rigorous research is urgently needed. CONCLUSIONS: Given the potential benefits and barriers to eHealth in medicines management, a fine balance needs to be established between evidence-based integration of technologies and constructive experimentation that could lead to a game-changing breakthrough. A concerted, transdisciplinary approach adapted to different contexts, including low- and middle-income contries is required to realise the benefits of eHealth at scale.
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spelling ntu-10356/836032020-11-01T04:44:58Z eHealth in the future of medications management: personalisation, monitoring and adherence Car, Josip Tan, Woan Shin Huang, Zhilian Sloot, Peter Franklin, Bryony Dean Interdisciplinary Graduate School (IGS) Lee Kong Chian School of Medicine (LKCMedicine) Complexity Institute Apps Drug monitoring BACKGROUND: Globally, healthcare systems face major challenges with medicines management and medication adherence. Medication adherence determines medication effectiveness and can be the single most effective intervention for improving health outcomes. In anticipation of growth in eHealth interventions worldwide, we explore the role of eHealth in the patients' medicines management journey in primary care, focusing on personalisation and intelligent monitoring for greater adherence. DISCUSSION: eHealth offers opportunities to transform every step of the patient's medicines management journey. From booking appointments, consultation with a healthcare professional, decision-making, medication dispensing, carer support, information acquisition and monitoring, to learning about medicines and their management in daily life. It has the potential to support personalisation and monitoring and thus lead to better adherence. For some of these dimensions, such as supporting decision-making and providing reminders and prompts, evidence is stronger, but for many others more rigorous research is urgently needed. CONCLUSIONS: Given the potential benefits and barriers to eHealth in medicines management, a fine balance needs to be established between evidence-based integration of technologies and constructive experimentation that could lead to a game-changing breakthrough. A concerted, transdisciplinary approach adapted to different contexts, including low- and middle-income contries is required to realise the benefits of eHealth at scale. Published version 2017-06-14T06:56:22Z 2019-12-06T15:26:33Z 2017-06-14T06:56:22Z 2019-12-06T15:26:33Z 2017 Journal Article Car, J., Tan, W. S., Huang, Z., Sloot, P., & Franklin, B. D. (2017). eHealth in the future of medications management: personalisation, monitoring and adherence. BMC Medicine, 15, 73-. 1741-7015 https://hdl.handle.net/10356/83603 http://hdl.handle.net/10220/42701 10.1186/s12916-017-0838-0 en BMC Medicine © 2017 The Author(s). Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. 9 p. application/pdf
spellingShingle Apps
Drug monitoring
Car, Josip
Tan, Woan Shin
Huang, Zhilian
Sloot, Peter
Franklin, Bryony Dean
eHealth in the future of medications management: personalisation, monitoring and adherence
title eHealth in the future of medications management: personalisation, monitoring and adherence
title_full eHealth in the future of medications management: personalisation, monitoring and adherence
title_fullStr eHealth in the future of medications management: personalisation, monitoring and adherence
title_full_unstemmed eHealth in the future of medications management: personalisation, monitoring and adherence
title_short eHealth in the future of medications management: personalisation, monitoring and adherence
title_sort ehealth in the future of medications management personalisation monitoring and adherence
topic Apps
Drug monitoring
url https://hdl.handle.net/10356/83603
http://hdl.handle.net/10220/42701
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