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Medication management needs information and communications technology‐based approaches, including telehealth and artificial intelligence

Life expectancy is rising in most parts of the world as is the prevalence of chronic diseases. Suboptimal adherence to long‐term medications is still rather the norm than the exception, although it is well known that suboptimal adherence compromises the therapeutic effectiveness. Information and com...

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Detalles Bibliográficos
Autores principales: Eggerth, Alphons, Hayn, Dieter, Schreier, Günter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7495302/
https://www.ncbi.nlm.nih.gov/pubmed/31271668
http://dx.doi.org/10.1111/bcp.14045
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author Eggerth, Alphons
Hayn, Dieter
Schreier, Günter
author_facet Eggerth, Alphons
Hayn, Dieter
Schreier, Günter
author_sort Eggerth, Alphons
collection PubMed
description Life expectancy is rising in most parts of the world as is the prevalence of chronic diseases. Suboptimal adherence to long‐term medications is still rather the norm than the exception, although it is well known that suboptimal adherence compromises the therapeutic effectiveness. Information and communications technology provides new concepts for improving adherence to medications. These so‐called telehealth concepts or services help to implement closed‐loop healthcare paradigms and to establish collaborative care networks involving all stakeholders relevant to optimising the overall medication therapy. Together with data from Electronic Health Records and Electronic Medical Records, these networks pave the way to data‐driven decision support systems. Recent advances in machine learning, predictive analytics, and artificial intelligence allow further steps towards fully autonomous telehealth systems. This might bring advances in the future: disburden healthcare professionals from repetitive tasks, enable them to timely react to critical situations, and offer a comprehensive overview of the patients' medication status. Advanced analytics can help to assess whether patients have taken their medications as prescribed, to improve adherence via automatic reminders. Ultimately, all relevant data sources need to be collated into a basis for data‐driven methods, with the goal to assist healthcare professionals in guiding patients to obtain the best possible health status, with a reasonable resource utilisation and a risk‐adjusted safety and privacy approach. This paper summarises the state‐of‐the‐art of telehealth and artificial intelligence applications in medication management. It focuses on 3 major aspects: latest technologies, current applications, and patient related issues.
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spelling pubmed-74953022020-09-24 Medication management needs information and communications technology‐based approaches, including telehealth and artificial intelligence Eggerth, Alphons Hayn, Dieter Schreier, Günter Br J Clin Pharmacol Reviews‐themed Section Life expectancy is rising in most parts of the world as is the prevalence of chronic diseases. Suboptimal adherence to long‐term medications is still rather the norm than the exception, although it is well known that suboptimal adherence compromises the therapeutic effectiveness. Information and communications technology provides new concepts for improving adherence to medications. These so‐called telehealth concepts or services help to implement closed‐loop healthcare paradigms and to establish collaborative care networks involving all stakeholders relevant to optimising the overall medication therapy. Together with data from Electronic Health Records and Electronic Medical Records, these networks pave the way to data‐driven decision support systems. Recent advances in machine learning, predictive analytics, and artificial intelligence allow further steps towards fully autonomous telehealth systems. This might bring advances in the future: disburden healthcare professionals from repetitive tasks, enable them to timely react to critical situations, and offer a comprehensive overview of the patients' medication status. Advanced analytics can help to assess whether patients have taken their medications as prescribed, to improve adherence via automatic reminders. Ultimately, all relevant data sources need to be collated into a basis for data‐driven methods, with the goal to assist healthcare professionals in guiding patients to obtain the best possible health status, with a reasonable resource utilisation and a risk‐adjusted safety and privacy approach. This paper summarises the state‐of‐the‐art of telehealth and artificial intelligence applications in medication management. It focuses on 3 major aspects: latest technologies, current applications, and patient related issues. John Wiley and Sons Inc. 2019-07-25 2020-10 /pmc/articles/PMC7495302/ /pubmed/31271668 http://dx.doi.org/10.1111/bcp.14045 Text en © 2019 The Authors. British Journal of Clinical Pharmacology published by John Wiley & Sons Ltd on behalf of British Pharmacological Society. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Reviews‐themed Section
Eggerth, Alphons
Hayn, Dieter
Schreier, Günter
Medication management needs information and communications technology‐based approaches, including telehealth and artificial intelligence
title Medication management needs information and communications technology‐based approaches, including telehealth and artificial intelligence
title_full Medication management needs information and communications technology‐based approaches, including telehealth and artificial intelligence
title_fullStr Medication management needs information and communications technology‐based approaches, including telehealth and artificial intelligence
title_full_unstemmed Medication management needs information and communications technology‐based approaches, including telehealth and artificial intelligence
title_short Medication management needs information and communications technology‐based approaches, including telehealth and artificial intelligence
title_sort medication management needs information and communications technology‐based approaches, including telehealth and artificial intelligence
topic Reviews‐themed Section
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7495302/
https://www.ncbi.nlm.nih.gov/pubmed/31271668
http://dx.doi.org/10.1111/bcp.14045
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