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[社区药房中由药剂师主导的药物审查的障碍与促进因素:法国大东部地区的一项前瞻性研究]

[Barriers and enablers to pharmacist-led medication review in community pharmacy: A prospective study in Grand Est, France].

作者信息

Mongaret C, Daguet-Gallois A, Chopard V, Aubert L, Lestrille A, Malblanc S, Gravoulet J, Slimano F

机构信息

Faculté de pharmacie de Reims, université de Reims Champagne-Ardenne, 51, rue Cognacq-Jay, 51100 Reims, France; Service pharmacie, centre hospitalier universitaire de Reims, rue du Général-Kœnig, 51100 Reims, France.

OMEDIT Grand Est-Agence régionale de santé, 3, boulevard Joffre, 54000 Nancy, France.

出版信息

Ann Pharm Fr. 2021 Mar;79(2):119-124. doi: 10.1016/j.pharma.2020.10.009. Epub 2020 Oct 28.

Abstract

Since 2018, French community pharmacists are involved in pharmaceutical care program performing medication review (MR). Near graduated pharmacy students from two faculties of pharmacy were assigned to implement and perform 3 MR in order to identify enablers and barriers of the implementation of MR by community pharmacists. Among 179 MR performed by 117 pharmacists during 5 months, they reported 3 main barriers: the time spending to initiate and perform all steps in MR (lack of time), patients recruiting, and compensation by health care system. Communications initiatives to patients and health professionals in primary care could facilitate patient MR adhesion. Simplification of administrative approach and optimization of software will be welcome and useful in order to reinforced MR implementation and leading.

摘要

自2018年以来,法国社区药剂师参与了实施药物评估(MR)的药学服务项目。来自两所药学院即将毕业的药学专业学生被分配去实施并完成3次药物评估,以确定社区药剂师实施药物评估的促进因素和障碍。在117名药剂师在5个月内完成的179次药物评估中,他们报告了3个主要障碍:启动和完成药物评估所有步骤所花费的时间(时间不足)、患者招募以及医疗保健系统的补偿。针对患者和初级保健中的医疗专业人员的沟通举措可能会促进患者对药物评估的依从性。简化行政流程和优化软件将受到欢迎且有用,以便加强药物评估的实施和引导。

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