Self-administration of medicine and related services, such as the home delivery of medication, can improve adherence when properly managed.
Risks and benefits of self-administration and oral treatments
There are different types of pharmacological treatments that can be carried out at home, as already explained at length in a feature article. Some of these treatments can be administered through the help of auto-injectors that allow the patient to self-administer the drug after a short period of training. Many treatments for chronic diseases have also become oral treatments, eliminating or greatly reducing the number of trips to the hospital or the amount of assistance needed to administer the medication.
While self-administration and the use of oral medication makes the patient more autonomous, it also creates concerns, especially for patients that are used to doing things differently. For example, a patient that is used to being followed by his own doctor, in person, to the hospital, may feel left alone or abandoned with inevitable negative consequences on the patient’s mood and on adherence to treatment. In these cases, Domedica’s Patient Support Programs design personalized remote assistance to fill any voids the patient may be feeling.
Accurate and recursive delivery of medication (for self-administration) to the patient’s home saves a significant amount of money for the national health system considering badly planned and ill-coordinated home deliveries lead to greater costs. The greatest positive impact of home delivery, however, is improved adherence to treatment. For example, Domedica’s Patient Care program follows all patients participating in its Patient Support Programs. For every patient, the program keeps track of drug availability and when the patient’s medication is about to run out and takes all measures to have the drug delivered to the patient’s home in advance. Home delivery, however, is not planned too far in advance, but close to the time the drug is due to run out. Timely home delivery encourages patient awareness regarding personal adherence to treatment and is indirectly urges the patient to follow the treatment correctly so that there is not an excess of medication leftover when the new lot arrives. Needless to say, home delivery is also much more convenient for the patient, who does not need to go to either a pharmacy or a hospital to obtain the medication. All of these aspects improve adherence to treatment and that is why it is called Proactive Delivery.
Domedica’s Home Delivery Services
A series of detailed services can be found within Domedica’s Patient Support Programs. Some specifically relate to the Home Delivery of Medication and Devices, where devices can be defined as anything not specifically related to the administration of the drug, such as general educational materials, diary and agenda for treatment management, consumables (i.e. syringes, autoinjectors), etc.
Through these services, Domedica reinforces the holistic approach it has taken to making patients aware of all aspects of their lives and to stimulate and improve adherence to treatment.
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