数字药丸:新兴技术的影响

K. SiddeshShewalkar, M. SakshiKothawade, A. RupaliPatil
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摘要

数字药丸(DP)是一种创新的药物装置技术,它允许将传统药物与监测系统结合起来,记录有关药物依从性的数据以及患者的生理数据,而无需人为干预。数字医疗系统(DMS)是一种为严重精神疾病患者开发的药物设备组合,通过在药丸中放置可摄取的传感器,将依从性测量与药物作用结合在一起,允许患者、卫生保健提供者(HCPs)和护理人员通过移动界面共享信息。对严重精神疾病(SMI)患者的不依从性影响了精神治疗的有效性。可穿戴技术与嵌入止痛药中的“数字摄入跟踪程序”(Digital Ingestion Tracking Program, DITP)相结合,可以让患者、护理人员以及医疗服务提供者通过网络或智能手机应用程序跟踪药丸的摄入情况。数字依从性技术可能是一种以患者为中心的监测依从性策略。2017年11月,美国食品和药物管理局(FDA)批准了第二代抗精神病药阿立哌唑的一个版本;嵌入传感器(Abilify MyCite)。本文重点介绍了DMS的影响,并对其进行了详细的回顾。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Digital Pills: Impact of Rising Technology
Digital Pills (DP) are an innovative drug-device technology that permits to combine traditional medications with a monitoring system to record data about medication adherence as well as patients’ physiological data without human intervention. The Digital Medicine System (DMS), a drug–device combination developed for patients with serious mental illness, together combines adherence measurement with pharmacologic action by placing an ingestible sensor in a pill, allowing for information sharing among patients, Health Care Providers (HCPs), and caregivers via a mobile interface. Non-adherence to medication compromises the helpfulness of psychiatric treatments in patients with Serious Mental Illness (SMI). The combination of wearable technology with a “Digital Ingestion Tracking Program” (DITP) embedded within a pain pill may allow patients, caregivers as well as healthcare providers to track ingestion of pills through the web or a Smartphone app. Digital adherence technology could be promising patient-centered strategies for monitoring adherence. In November 2017, the Food and Drug Administration (FDA) approved a version of a second-generation antipsychotic, aripiprazole; embedded with a sensor (Abilify MyCite). The paper highlights the impact of DMS and provides detailed review about it.
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