[Involvement of hospital pharmacy technician for expanding medication reconciliation process in France: Actors' willingness and opinions].

Implication du préparateur en pharmacie hospitalière dans le déploiement de la conciliation des traitements médicamenteux en France : représentations et engagement des préparateurs.
Bilan médicamenteux optimisé Clinical pharmacy Conciliation des traitements médicamenteux Medication history Medication reconciliation Pharmacie clinique Pharmacy technician Préparateur en pharmacie hospitalière

Journal

Annales pharmaceutiques francaises
ISSN: 0003-4509
Titre abrégé: Ann Pharm Fr
Pays: France
ID NLM: 2985176R

Informations de publication

Date de publication:
Mar 2019
Historique:
received: 19 07 2018
revised: 12 11 2018
accepted: 17 11 2018
pubmed: 27 1 2019
medline: 8 6 2019
entrez: 26 1 2019
Statut: ppublish

Résumé

Medication reconciliation is widely promoted by international health authorities. Its expansion requires human resources, which are limited and unequally distributed among health care facilities. Recent international studies support the involvement of pharmacy technician in the medication reconciliation process but his role remains unstructured in France. We aimed to assess pharmacy technicians' opinions and willingness to be involved in the medication reconciliation process expansion and to identify the levers and barriers of the project. A field study was conducted among health facilities of our territory hospital group. Semi-structured interviews were carried out with different pharmacy technicians. Data were analyzed using a qualitative thematic analysis approach. Overall, 12 pharmacy technicians from 5 hospitals were interviewed and almost all assumed their rightful place in the medication reconciliation process (n=11), with a view to revaluating tasks. For all pharmacy technicians, the main barriers to participate in medication reconciliation were the lack of time and training. The spread of a "patient culture", the supervision by pharmacists, the desire to be part of the care team in the ward and additional training requests were major levers of change. Pharmacy technicians' role in expanding medication reconciliation process is legitimate and must be standardized in France. The deployment of the project requires to be formalized within a territory and should consider and develop local organisations.

Identifiants

pubmed: 30678804
pii: S0003-4509(18)30121-4
doi: 10.1016/j.pharma.2018.11.003
pii:
doi:

Types de publication

Journal Article

Langues

fre

Sous-ensembles de citation

IM

Pagination

168-177

Informations de copyright

Copyright © 2018 Académie Nationale de Pharmacie. Published by Elsevier Masson SAS. All rights reserved.

Auteurs

M Duwez (M)

Pharmacie, CHU Grenoble Alpes, 38700 La Tronche, France; Université Grenoble Alpes/CNRS/TIMC - IMAG UMR5525/Themas, 38700 La Tronche, France.

A Valette (A)

Université Grenoble Alpes/CNRS/CERAG, 38000 Grenoble, France.

L Foroni (L)

Pharmacie, CHU Grenoble Alpes, 38700 La Tronche, France.

B Allenet (B)

Pharmacie, CHU Grenoble Alpes, 38700 La Tronche, France; Université Grenoble Alpes/CNRS/TIMC - IMAG UMR5525/Themas, 38700 La Tronche, France. Electronic address: ballenet@chu-grenoble.fr.

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