Guérin A, Lebel D, Marando N, Prot-Labarthe S, Bourdon O, Bussières J-F
Unité de recherche en pratique pharmaceutique, département de pharmacie, CHU Sainte-Justine (CHUSJ), 3175, chemin de la Côte Sainte-Catherine, Montréal, Québec H3T 1C5, Canada.
Département de pharmacie, hôpital Robert-Debré, AP-HP, 48, boulevard Serurier, 75019 Paris, France.
Ann Pharm Fr. 2014 May;72(3):202-15. doi: 10.1016/j.pharma.2014.01.001. Epub 2014 Mar 12.
Hospital pharmacy practice has evolved differently between France and Quebec. While this development is part of broader systems, French and Quebec hospitals have undergone significant changes over the years to cope with challenges, among others, the economic and demographic realities.
The main objective is to evaluate and compare the perception of French and Quebec hospital pharmacists about the factors that have contributed to the evolution of pharmacy practice in their respective context.
This is a descriptive cross-sectional study. The study focuses on a sample of experienced hospital pharmacists in France and Quebec. We targeted a convenience sample of 50 respondents per country. An online questionnaire with 15 pharmaceutical activities to which are connected nine factors that may have influenced the implementation of each of these activities in each country was used. The mean score was calculated for each of the nine factors for each activity. The perception of French and Quebec hospital pharmacists was then compared. A P value less than 0.05 was considered statistically significant.
Two hundred and sixty hospital pharmacists were directly contacted in France and 79 in Quebec. Seventy-eight French pharmacists and 77 Quebec pharmacists responded to the survey, that is a respective response rate of 30% and 97%, respectively. The hierarchy of factors that contributed to the evolution of pharmacy practice was similar between the two countries, legislative and regulatory factors as well as the concern for risk management and quality dominate; scientific human, economic factors and training have a relatively similar position. For cons, the news factor (6th in France against the 10th position in Quebec) and the academic factor (10th position in France against the 6th position in Quebec) obtained inverse scores between France and Quebec.
There are few data on the determinants of the evolution of hospital pharmacy in France and Quebec. The hierarchy of factors that contributed to the evolution of pharmacy practice is similar between the two countries, although differences of rank were found for the news and academic factors. Further studies are needed to better understand the factors that influence the evolution of pharmacy practice in health care institutions.
法国和魁北克的医院药学实践发展情况有所不同。虽然这种发展是更广泛体系的一部分，但多年来，法国和魁北克的医院为应对挑战，尤其是经济和人口现实等方面，经历了重大变革。
主要目标是评估和比较法国和魁北克医院药剂师对各自背景下推动药学实践发展的因素的看法。
这是一项描述性横断面研究。该研究聚焦于法国和魁北克经验丰富的医院药剂师样本。我们针对每个国家选取了50名受访者的便利样本。使用了一份包含15项药学活动的在线问卷，每项活动关联了9个可能影响其在每个国家实施的因素。计算了每项活动中9个因素各自的平均得分。然后比较了法国和魁北克医院药剂师的看法。P值小于0.05被认为具有统计学意义。
在法国直接联系了260名医院药剂师，在魁北克联系了79名。78名法国药剂师和77名魁北克药剂师回复了调查，回复率分别为30%和97%。两国推动药学实践发展的因素层次相似，立法和监管因素以及对风险管理和质量的关注占主导；科学、人力、经济因素和培训的地位相对相似。相比之下，新闻因素（在法国排第6，在魁北克排第10）和学术因素（在法国排第10，在魁北克排第6）在法国和魁北克的得分相反。
关于法国和魁北克医院药学发展的决定因素的数据较少。两国推动药学实践发展的因素层次相似，尽管在新闻和学术因素的排名上存在差异。需要进一步研究以更好地理解影响医疗机构药学实践发展的因素。
