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Master Thesis

Proposition pour la pharmacie de ville d'outils pour l'évaluation de l'adhésion au traitement et le repérage des difficultés de manipulation des formes médicamenteuses. Implications pour la dispensation et le bilan partagé de médication

Abstract : For a long time, medication selling and manufacturing have been the main focus of community pharmacy. Gradually, those activities have been associated with the development of patient’s service and pharmaceutical care. In France, this evolution is best illustrated by the acknowledgement of Shared Checkup of medication as a pharmaceutical service by national health insurance. France is also confronted to the complications encountered with medication non-adherence which is a major concern for public health. Community pharmacists, although in a legitimate spot to face this problem, are lacking efficient screening tools that are easy to use in routine. By calculating scores based on medication dispensing data, we suggest that pharmacists could use Proportion of Day Covered (PDC) and Renewal Incident (or Refill Incident) as potentially efficient screening tools to assess for adherence issues. Those calculations should be associated with the investigation of clues indicating potential misuse of medication linked to some form of impairment. These burden such as swallowing disorders or improper use of eye-drops and inhalers are very prevalent among home-dwelling elderly, although not always easily noticeable. Some concerns that could be considered trivial like difficulties with opening blisters, or with drug identification, should not be underestimated. By using simple observation of the patients’ behavior in a community pharmacy environment, we suggest that some of these issues could be spotted by using Clues of therapeutic issues. As elderly’s dependency is a thriving challenge that occidental societies will have to face in the following years, these tools used in conjunction with Shared checkup of medication might help pharmacists to better maintain these aging populations at home. Unfortunately, few studies have investigated the use of similar tools in a community-based environment. More studies are necessary to assess for the validation of their use in such context.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03557499
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Submitted on : Friday, February 4, 2022 - 12:59:10 PM
Last modification on : Tuesday, February 8, 2022 - 3:38:35 AM
Long-term archiving on: : Thursday, May 5, 2022 - 6:59:43 PM

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Pharmacie_2022_Mascle.pdf
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Anthony Mascle. Proposition pour la pharmacie de ville d'outils pour l'évaluation de l'adhésion au traitement et le repérage des difficultés de manipulation des formes médicamenteuses. Implications pour la dispensation et le bilan partagé de médication. Sciences du Vivant [q-bio]. 2021. ⟨dumas-03557499⟩

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