TABLE 3.
Detailed characteristics of reimbursed MAEIs directly targeting adherence, identified across 12 European countries.
| Nr a | Country | Intervention | Who performs? | Type | Technology mediated? |
|---|---|---|---|---|---|
| 5 | Czech Republic | Inhaled drug (Enerzair Breezhaler®) for asthma therapy equipped with sensor and dedicated app | Patients | Adherence monitoring | Yes |
| 6 | Patient education in psychiatry; with elements of motivational interview | Nurse | Education | No | |
| 7 | Patient education in diabetes, covering issues related to medication adherence | Nurse | Education | No | |
| 8 | Patient education (group sessions), covering issues related to medication adherence | Doctor (diabetologist) | Education | No | |
| 9 | Patient education (individual consultation), covering issues related to medication adherence | Doctor (diabetologist) | Education | No | |
| 10 | Educational interview with a patient/family member covering issues related to medication adherence, provided at therapy initiation | Doctor | Education | No | |
| 14 | Estonia | Patient education in asthma, covering issues related to medication adherence | Nurse | Education | No |
| 15 | Patient education in diabetes, covering issues related to disease self-monitoring with glucometer and medication adherence | Nurse | Technical equipment for monitoring the disease and providing feedback on outcomes | No | |
| 16 | Directly observed therapy of mental conditions, accompanied by drug concentration monitoring | Nurse | Medication regimen management | No | |
| 17 | Hungary | Primary care performance indicator: the proportion of patients with myocardial infarction, coronary bypass, or percutaneous transluminal coronary angioplasty who filled prescriptions for beta-blockers at least four times in the previous 12 months | Doctor (GP) | Adherence monitoring | Yes |
| 18 | Patient education and regular monitoring of medication adherence by GPs in chronic patients aged 40–65 years under the “Three Generations for Health Program” | Doctor (GP) | Complex | No | |
| 19 | Mobile application for hypertensives providing blood pressure and medication diary with reminders to take medications and to refill prescriptions - HABITA™ e-health application | Patient | Reminders | Yes | |
| 21 | Lithuania | Monitoring patients’ conditions including the use of medicines | Nurse (hired by GPs or Primary Health care institution) | Adherence monitoring | No |
| 23 | Netherlands | Inhaled drug (Enerzair Breezhaler®) equipped with sensor and app for asthma therapy | Patients | Adherence monitoring | Yes |
| 24 | Complex behavioural intervention targeting adherence to asthma/COPD medication | Pharmacists | Complex | No | |
| 25 | Norway | Multidose drug dispensing providing patients with machine-dispensed medicines | Pharmacists (in collaboration with GPs and nurses) | Medication regimen management | Yes |
| 27 | New Medicine Service for patients with cardiovascular diseases | Pharmacists | Complex | No | |
| 30 | Spain | Medication review in complex patients with multiple chronic conditions and 15 or more medications prescribed | Pharmacists, GPs and nurses in collaboration | Medication regimen management | Yes |
| 31 | Switzerland | Preparation of weekly pill organizers | Pharmacists or nurses | Medication regimen management | Yes |
| 32 | Direct Observed Therapy for any patient encountering important adherence issues | Pharmacists | Medication regimen management | No |
Numbers refer to consecutive numbers ascribed to interventions across the country related paragraphs, appearing in braces; GP, general practitioner.