La place du pharmacien hospitalier dans le parcours de soins des patients traités par chimiothérapie orale : l'exemple d'une coordination ville-hôpital au Centre Hospitalier de Mont-de-Marsan en lien avec la Plateforme Territoriale d’Appui Santé Landes

Abstract : Cancer is a major public health issue because of its frequency, its chronicity, and the outpatient management it generates. As a result, a new paradigm is emerging with an increasing focus on outpatient management, and with the administration of home-based treatment leading to complications or compromising the effectiveness of treatment, resulting in additional costs to our health system. The Mont-de-Marsan Hospital Center, in close collaboration with the Territorial Support Platform Santé Landes, has worked on a management care program which includes the hospital pharmacist and makes the patient's return home safe. Through a first retrospective study whose objective was to determine a profile of patients or oral chemotherapy particularly at risk, we finally showed the benefit of the pharmaceutical consultation for all patients in order to secure the drug interactions but also to ensure the continuity and safety of care. The role of the hospital pharmacist therefore proved to be crucial regarding his involvement in city and hospital coordination. In September 2018, a new care program was created; it included a nurse to accompany and monitor patients on oral chemotherapy in close collaboration with the hospital pharmacist in the onco-hematology department. A second study has shown the satisfaction of patients who feel reassured by our approach. But it has also shown that the creation of such a system should be part of the planned evolution of care financing in order to harmonize practices and ensure the equal and optimal care of patients on oral therapies.
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Master Thesis
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Justine Bouton. La place du pharmacien hospitalier dans le parcours de soins des patients traités par chimiothérapie orale : l'exemple d'une coordination ville-hôpital au Centre Hospitalier de Mont-de-Marsan en lien avec la Plateforme Territoriale d’Appui Santé Landes. Sciences pharmaceutiques. 2019. ⟨dumas-02162286⟩

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