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[药剂师参与支持接受口服抗癌治疗患者的护理:法国癌症中心的情况报告]

[Pharmacist involvement in supporting care in patients receiving oral anticancer therapies: A situation report in French cancer centers].

作者信息

Occhipinti Sandrine, Petit-Jean Emilie, Pinguet Frédéric, Beaupin Cécile, Daouphars Mikaël, Parent Damien, Donamaria Catherine, Bertrand Claude, Divanon Fabienne, Benard-Thiery Isabelle, Chevrier Régine

机构信息

Centre Jean-Perrin, 58, rue Montalembert, 63000 Clermont-Ferrand, France.

Centre Paul-Strauss, 3, rue de la Porte-de-l'Hôpital, 67065 Strasbourg, France.

出版信息

Bull Cancer. 2017 Sep;104(9):727-734. doi: 10.1016/j.bulcan.2017.06.012. Epub 2017 Aug 1.

Abstract

INTRODUCTION

The increasing prescription of oral anticancer therapies has significantly changed inpatient care to outpatient care. This transformation requires an excellent coordination between different professionals to ensure healthcare channel security.

METHOD

We performed a prospective study in 18 French cancer centers from March to April 2016. The aim of this study was to identify resources deployed to support patients receiving oral anticancer therapies and to assess pharmacist's involvement.

RESULTS

More than half of the centers have developed patient education program and/or practice pharmaceutical consultations. In total, 54.5% have deployed an oral anticancer drugs program and the pharmacist is involved in multidisciplinary teams. In total, 44.4% of the centers have developed hospital-to-community coordination actions but all of them highlight the time-consuming character of those programs.

DISCUSSION

Administrative burdens are seriously hindering patient education program's development. Multidisciplinary consultations can offer an attractive alternative because of easy implementation modalities. Finally, hospital-to-community coordination actions seem hard to implement and require harmonization of communication practices, and need more technical and financial means.

摘要

引言

口服抗癌疗法处方的增加显著改变了住院治疗模式,转变为门诊治疗。这种转变需要不同专业人员之间进行出色的协调,以确保医疗渠道安全。

方法

2016年3月至4月,我们在18家法国癌症中心进行了一项前瞻性研究。本研究的目的是确定为接受口服抗癌疗法的患者提供支持所部署的资源,并评估药剂师的参与情况。

结果

超过半数的中心制定了患者教育计划和/或开展了药学咨询。总体而言,54.5%的中心部署了口服抗癌药物计划,药剂师参与了多学科团队。共有44.4%的中心开展了医院与社区的协调行动,但所有中心都强调这些计划耗时较长。

讨论

行政负担严重阻碍了患者教育计划的开展。多学科咨询因其易于实施的方式而可提供有吸引力的替代方案。最后,医院与社区的协调行动似乎难以实施,需要统一沟通方式,并且需要更多的技术和资金支持。

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