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Master Thesis

La place du pharmacien d'officine dans le parcours de soins du patient : enquête en région Aquitaine sur les activités de coopération

Abstract : This thesis examines the role of the community pharmacist in the patient care pathway and the cooperation missions introduced with the French 2009 Act about Hospital, Patients, Health and Territories (Loi "Hôpital, patients, santé et territoires" - HPST). First, we presented the patient care pathway as a cooperation tool, and then we studied the role of the pharmacist in primary health care. Then we detailed the tasks introduced by the HPST law that include therapeutic patient education (TPE), and the duties of referent pharmacists and correspondent pharmacists. With the help of the Regional Health Agency of Aquitaine, we conducted a survey on pharmacy holders in July 2014. The goal was to make an inventory of cooperation activities performed five years after the HPST law. It also aimed to identify factors that could hamper or ease the establishment of these activities in order to propose actions that can be taken to improve commitments to these missions. In total, 20% (249) of pharmacists working in Aquitaine responded to our survey. They owned predominantly rural pharmacies (46%) or neighbourhood pharmacies (41%), and had between three and six employees (54%), two of whom were pharmacists too (48%). More than half of the respondents (54%) were pharmacists with over twenty years of professional experience. For participation in cooperative missions, the majority of pharmacists (78%) had conducted interviews with their patients taking vitamin K antagonist therapy and were willing to continue (87%). The implication was less common in other actions such as the referent pharmacist function (19%), TPE programs (34%) or in multidisciplinary supported actions (13%). The function of correspondent pharmacist remained unknown or little known for most of the respondents (85%). The main obstacles to engaging in these cooperative activities were the ignorance of these missions and the lack of remuneration. Our analysis of the involvement of pharmacists according to the characteristics of the dispensary has identified different commitment capabilities in particular activities of cooperation. In conclusion, the results of this survey leave us optimistic about the future of the profession and suggest that better information dissemination and recognition by remuneration would facilitate commitment to these missions. The establishment of « Honoraires pharmaceutiques » in January 2015 illustrates the evolution of the activities at the pharmacy and the role of the pharmacist as a key player in the care pathway.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01168744
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Submitted on : Friday, June 26, 2015 - 2:49:41 PM
Last modification on : Wednesday, August 23, 2017 - 4:40:16 PM
Long-term archiving on: : Friday, October 9, 2015 - 6:46:13 PM

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Marc d'Elbée. La place du pharmacien d'officine dans le parcours de soins du patient : enquête en région Aquitaine sur les activités de coopération. Sciences pharmaceutiques. 2015. ⟨dumas-01168744⟩

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