Prot-Labarthe Sonia, Bussières Jean-François, Brion Françoise, Bourdon Olivier
Unité de recherche en pratique pharmaceutique, Département de pharmacie, Centre hospitalier universitaire Sainte Justine, Université de Montréal, QC, Canada, H3T 1C5.
Pharm World Sci. 2007 Oct;29(5):526-33. doi: 10.1007/s11096-007-9094-2. Epub 2007 Apr 25.
To compare hospital pharmacy practice in France and Canada by identifying similarities and differences in the two institution's pharmacy activities, resources, drug dispensing processes and responsibilities.
Centre hospitalier universitaire Sainte-Justine (SJ), Montréal, Québec, Canada and Hôpital Robert Debré (RD), Paris, France, are two maternal-child teaching hospitals. They share a similar mission focused on patient care, teaching and research.
The data were gathered from annual reports, department strategic plans and by direct observation.
The description and comparison of the legal environment, hospital demographics, pharmacy department data, drug dispensing processes and pharmacist activities in the two institutions.
The Centre hospitalier universitaire Sainte-Justine and Hôpital Robert Debré are similar with respect to their mission and general demographics; number of beds, annual hospital expenditures, number of admissions, visits and childbirths. The respective pharmacy departments differ in allocated resources. The main operational differences concern compounding, quality control programs and clinical activities. The French department also manages medical devices, medical gases, blood derivatives and the sterilisation unit. These comparisons highlight the more patient-oriented Canadian hospital pharmacy practice against the more product-oriented French hospital practice Factors contributing to these differences include academic curriculum, the attention paid to the legal environment by professional bodies, staffing patterns and culture.
There are differences between the hospital pharmacy practice in the studied hospitals in Canada and France. Hospital pharmacy practice in France seems to be more product oriented, and the practice in Canada seems more patient oriented.
通过识别法国和加拿大两家机构药房活动、资源、药品调配流程及职责方面的异同,比较两国的医院药房实践。
加拿大魁北克省蒙特利尔市的圣朱斯坦大学教学医院中心(SJ)和法国巴黎的罗伯特·德布雷医院(RD)是两家母婴教学医院。它们有着相似的使命,专注于患者护理、教学和研究。
数据收集自年度报告、科室战略计划并通过直接观察获取。
描述和比较两家机构的法律环境、医院人口统计学数据、药房部门数据、药品调配流程及药剂师活动。
圣朱斯坦大学教学医院中心和罗伯特·德布雷医院在使命和总体人口统计学数据方面相似,如床位数量、年度医院支出、入院人数、就诊人数及分娩数。各自的药房部门在分配资源方面存在差异。主要的运营差异涉及配制、质量控制项目和临床活动。法国的药房部门还管理医疗设备、医用气体、血液制品及消毒部门。这些比较凸显了以患者为导向的加拿大医院药房实践与以产品为导向的法国医院药房实践的不同。造成这些差异的因素包括学术课程、专业机构对法律环境的关注、人员配置模式和文化。
加拿大和法国所研究医院的医院药房实践存在差异。法国的医院药房实践似乎更以产品为导向,而加拿大的实践似乎更以患者为导向。