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Polypharmacy and Adherence: Key Components of Integrated Care Findings from the SIMPATHY Project


Jennifer McIntosh

Carles Codina


Albert Alonso


Context, aims and objectives: As many as half of all patients with chronic conditions are using their medicines in a way that is not fully effective, resulting in sub-optimal treatment and subsequent increases in hospitalisations and emergency department visits. High levels of inappropriate prescribing further compound this problem. These issues are especially germane to older patients. Safe and effective pharmacotherapy remains one of the greatest challenges in this population, where models of healthcare delivery lag behind the enormous growth in single disease focused pharmacotherapy. The implications for safe, efficient, effective and sustainable deployment of healthcare resources are significant from both a healthcare systems and societal perspective.

Integrated care models have the potential to mitigate inappropriate polypharmacy, while simultaneously diminishing problems related to poor adherence. Project SIMPATHY addresses both of these issues by aiming to stimulate and support innovation throughout the European Union regarding the management of polypharmacy and adherence in the older patient. The SIMPATHY Consortium has completed case studies in eight EU countries, providing useful insights into how different health care systems address this challenge. This workshop will present these findings, using them as a basis for discussion on the practicalities of integrating new practices into existing workflow, highlighting the opportunities that an integrated care model can provide.


Mair, A., McIntosh, J., Codina, C., Molist, N., & Alonso, A. (2016). Polypharmacy and Adherence: Key Components of Integrated Care Findings from the SIMPATHY Project. International journal of integrated care, 16(6), A190.

Journal Article Type Meeting Abstract
Conference Name 16th International Conference on Integrated Care
Conference Location Barcelona, Spain
Acceptance Date May 13, 2016
Online Publication Date Dec 16, 2016
Publication Date Dec 16, 2016
Deposit Date May 3, 2021
Publicly Available Date May 4, 2021
Journal International Journal of Integrated Care
Print ISSN 1568-4156
Publisher Ubiquity Press
Peer Reviewed Peer Reviewed
Volume 16
Issue 6
Pages A190
Keywords polypharmacy, adherence, health policy, change management
Public URL


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