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Chelghoum M, Khitri W, Kadouri F, Chaouche K. A pilot study to assess the need for new hospital pharmaceutical services in Algerian patients and physicians’ perspective. JOURNAL OF PHARMACEUTICAL HEALTH SERVICES RESEARCH 2021. [DOI: 10.1093/jphsr/rmab042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Abstract
Objectives
The objective of this study was to assess the needs for pharmaceutical services from the perspectives of physicians and patients in the hospital setting and to contribute to the implementation of new hospital pharmacy activities.
Methods
A cross-sectional descriptive study was carried out among the doctors and patients encountered in hospital departments in Sidi Bel Abbès (Algeria); each service was evaluated using a Likert scale. Associated characteristics with an important need were evaluated by univariate analysis and binary logistic regression.
Key findings
All pharmaceutical services were important to the patients, particularly providing treatment advice and therapeutic education. Women presented an important need for insurance of the availability of pharmaceutical products (P = 0.02) and lifestyle and dietetic information (P = 0.05). High frequency of taking medication was associated with an important need for information about drug interactions (P = 0.005). Patient-oriented pharmaceutical services were not important to the physicians who considered drug information and therapeutic education to be the most important need.
Conclusions
To implement patient-centred services, it is important to improve the contact between pharmacists and physicians and to provide information about pharmaceutical services that can benefit patients. Implementation of new practices in university hospital is more feasible than in public health facilities.
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Affiliation(s)
- Mustapha Chelghoum
- Faculty of Medicine of Sidi Bel Abbes, University of Djillali Liabes, Sidi Bel Abbes, Algeria
| | - Walid Khitri
- Faculty of Medicine, University of Oran 1, Oran, Algeria
| | - Feriel Kadouri
- Faculty of Medicine of Sidi Bel Abbes, University of Djillali Liabes, Sidi Bel Abbes, Algeria
| | - Khedra Chaouche
- Faculty of Medicine of Sidi Bel Abbes, University of Djillali Liabes, Sidi Bel Abbes, Algeria
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Dubois S, Lebel D, Bussières JF. [Not Available]. Can J Hosp Pharm 2016; 69:483-492. [PMID: 28123196 PMCID: PMC5242282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Affiliation(s)
- Sophie Dubois
- est une assistante de recherche, Unité de recherche en pratique pharmaceutique et Département de pharmacie, Centre hospitalier universitaire Saint-Justine, Montréal (Québec). Elle est aussi une étudiante dans le programme D. Pharm dans la Faculté des sciences pharmaceutiques et biologiques de Rennes, Université de Rennes 1, Rennes, France
| | - Denis Lebel
- , B. Pharm., M. Sc., FCSHP, est adjoint au chef de département, Unité de recherche en pratique pharmaceutique et Département de pharmacie, Centre hospitalier universitaire Saint-Justine, Montréal (Québec)
| | - Jean-François Bussières
- , B. Pharm., M. Sc., MBA, FCSHP, est chef, Unité de recherche en pratique pharmaceutique et Département de pharmacie, Centre hospitalier universitaire Saint-Justine, et professeur titulaire de clinique, Faculté de pharmacie, Université de Montréal, Montréal (Québec)
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Leroux A, Guérin A, Bussières JF, Lebel D, Tremblay S, Roy H, Métras ME, Beauchemin M, Bédard P. [Upgrading a pediatric pharmaceutical care service in Quebec]. Arch Pediatr 2016; 23:117-27. [PMID: 26795358 DOI: 10.1016/j.arcped.2015.11.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2014] [Revised: 11/13/2015] [Accepted: 11/18/2015] [Indexed: 11/28/2022]
Abstract
INTRODUCTION Clinical pharmacy has developed since the 1960s in North America, with large disparities in the presence of decentralized pharmacists in hospital units between healthcare programs. Decentralized pharmacists have been present in pediatrics since the 1970s. The main objective of this study was to describe the steps used to upgrade the pediatrics department's pharmaceutical care. METHODS A descriptive study was conducted to upgrade the pharmaceutical care provided by two full-time equivalents in two pediatric sectors including 81 beds of a tertiary mother-child hospital. The upgrade includes three steps: a structured literature review, a description of the department, and a description of the practice upgrades proposed by the research team, in consensus with the clinical pharmacy team. RESULTS Out of the 236 articles initially identified, 13 relevant articles were found on the role and impact of pharmacists in pediatrics. Nine pharmaceutical activities were supported by high-quality data. Following the literature review and concerted reflection, 15 improvements were identified as feasible without increasing the staff. CONCLUSION There are data on the impact of pharmacists in pediatrics. This descriptive study illustrates a method that was used to upgrade the pediatrics sector in a university mother-child health center.
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Affiliation(s)
- A Leroux
- Département de pharmacie, unité de recherche en pratique pharmaceutique, CHU Sainte-Justine, 3175, Côte-Sainte-Catherine, H3T 1C5 Montréal, Canada
| | - A Guérin
- Département de pharmacie, unité de recherche en pratique pharmaceutique, CHU Sainte-Justine, 3175, Côte-Sainte-Catherine, H3T 1C5 Montréal, Canada
| | - J-F Bussières
- Département de pharmacie, unité de recherche en pratique pharmaceutique, CHU Sainte-Justine, 3175, Côte-Sainte-Catherine, H3T 1C5 Montréal, Canada; Faculté de pharmacie, université de Montréal, 2940, chemin de la Polytechnique, H3C 3J7 Montréal, Canada
| | - D Lebel
- Département de pharmacie, unité de recherche en pratique pharmaceutique, CHU Sainte-Justine, 3175, Côte-Sainte-Catherine, H3T 1C5 Montréal, Canada
| | - S Tremblay
- Département de pharmacie, unité de recherche en pratique pharmaceutique, CHU Sainte-Justine, 3175, Côte-Sainte-Catherine, H3T 1C5 Montréal, Canada
| | - H Roy
- Département de pharmacie, unité de recherche en pratique pharmaceutique, CHU Sainte-Justine, 3175, Côte-Sainte-Catherine, H3T 1C5 Montréal, Canada
| | - M-E Métras
- Département de pharmacie, unité de recherche en pratique pharmaceutique, CHU Sainte-Justine, 3175, Côte-Sainte-Catherine, H3T 1C5 Montréal, Canada
| | - M Beauchemin
- Département de pharmacie, unité de recherche en pratique pharmaceutique, CHU Sainte-Justine, 3175, Côte-Sainte-Catherine, H3T 1C5 Montréal, Canada
| | - P Bédard
- Département de pharmacie, unité de recherche en pratique pharmaceutique, CHU Sainte-Justine, 3175, Côte-Sainte-Catherine, H3T 1C5 Montréal, Canada.
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Guérin A, Caron E, Frève JFO, Lebel D, Bussières JF. [Not Available]. Can J Hosp Pharm 2014; 67:230-239. [PMID: 24970944 PMCID: PMC4071086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Affiliation(s)
- Aurélie Guérin
- est candidate au D. Pharm. et assistante de recherche à l'Unité de recherche en pratique pharmaceutique, Centre hospitalier universitaire Sainte-Justine, Montréal, Québec. Elle est aussi interne en pharmacie, Université Paris Sud XI, France
| | - Elaine Caron
- B. Pharm., M. Sc., est pharmacienne au Département de pharmacie, Centre hospitalier universitaire Sainte-Justine, Montréal, Québec
| | - Johann-François Ouellette Frève
- Pharm. D., M. Sc., est pharmacien au Département de pharmacie, Centre hospitalier universitaire Sainte-Justine, Montréal, Québec
| | - Denis Lebel
- B. Pharm., M.Sc., FCSHP, est Adjoint, Département de pharmacie et Unité de recherche en pratique pharmaceutique, Centre hospitalier universitaire Sainte-Justine, Montréal, Québec
| | - Jean-François Bussières
- B. Pharm., M. Sc., FCSHP, est Chef, Département de pharmacie et Unité de recherche en pratique pharmaceutique, Centre hospitalier universitaire Sainte-Justine, Montréal, Québec. Il est aussi professeur titulaire de clinique, Faculté de pharmacie, Université de Montréal, Montréal, Québec
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Guérin A, Thibault M, Nguyen C, Lebel D, Bussières JF. [Steps aimed at upgrading a pharmaceutical care sector: the case of surgery]. ANNALES PHARMACEUTIQUES FRANÇAISES 2014; 72:267-86. [PMID: 24997888 DOI: 10.1016/j.pharma.2013.12.012] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2013] [Revised: 12/20/2013] [Accepted: 12/24/2013] [Indexed: 11/19/2022]
Abstract
BACKGROUND While the concept of clinical pharmacy was developed in the 1960s, clinical programs are characterized by their great variety and disparity when it comes to the presence of pharmacists in healthcare sectors. PURPOSE This article aims to describe a method in which pharmaceutical care sectors in healthcare facilities can be upgraded. METHODS This is a descriptive study supporting the upgrade of pharmaceutical care practiced in the surgery sector of a 500-bed mother-child university hospital center, the CHU Sainte-Justine. The pharmacy department employs more than 70 healthcare professionals. The study involved these proposed upgrading steps: firstly, a review of the literature; secondly, a description of the profile of the sector; thirdly, a description of the upgrading of pharmacist practice in surgery. RESULTS A total of 137 articles were compiled, seven of which were selected to evaluate the impact and eight a description of the pharmacist's role in surgery. The authors did not identify any particular pharmaceutical activity based on very good quality data (A). However, there were five based on good quality data (B) and seven that lacked adequate proof (C, D) in relation to the practice of surgery. Nevertheless, a number of other authors described the development of the pharmacist's clinical role in surgery. CONCLUSION There are few data on the impact of pharmacists in surgery. This descriptive study proposes a number of steps aimed at upgrading pharmaceutical care within a Quebec university hospital center.
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Affiliation(s)
- A Guérin
- Département de pharmacie et unité de recherche en pratique pharmaceutique, CHU Sainte-Justine, 3175, chemin de la Côte-Sainte-Catherine, H3T 1C5 Montréal, Québec, Canada
| | - M Thibault
- Département de pharmacie et unité de recherche en pratique pharmaceutique, CHU Sainte-Justine, 3175, chemin de la Côte-Sainte-Catherine, H3T 1C5 Montréal, Québec, Canada
| | - C Nguyen
- Département de pharmacie et unité de recherche en pratique pharmaceutique, CHU Sainte-Justine, 3175, chemin de la Côte-Sainte-Catherine, H3T 1C5 Montréal, Québec, Canada
| | - D Lebel
- Département de pharmacie et unité de recherche en pratique pharmaceutique, CHU Sainte-Justine, 3175, chemin de la Côte-Sainte-Catherine, H3T 1C5 Montréal, Québec, Canada
| | - J-F Bussières
- Département de pharmacie et unité de recherche en pratique pharmaceutique, CHU Sainte-Justine, 3175, chemin de la Côte-Sainte-Catherine, H3T 1C5 Montréal, Québec, Canada; Faculté de pharmacie, université de Montréal, 2900, Édouard Montpetit, H3T 1J4 Montréal, Québec, Canada.
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Guérin A, Bédard P, Lebel D, Bussières JF. Démarche pour la mise à niveau de soins pharmaceutiques en établissement de santé : l'exemple de l'immunisation. SANTÉ PUBLIQUE 2014. [DOI: 10.3917/spub.146.0813] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Brisseau L, Bussières JF, Bois D, Vallée M, Racine MC, Bonnici A. Ranking of healthcare programmes based on health outcome, health costs and safe delivery of care in hospital pharmacy practice. INTERNATIONAL JOURNAL OF PHARMACY PRACTICE 2013; 21:46-54. [PMID: 23301533 DOI: 10.1111/j.2042-7174.2012.00223.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2011] [Accepted: 03/21/2012] [Indexed: 11/29/2022]
Abstract
OBJECTIVES To establish a consensual and coherent ranking of healthcare programmes that involve the presence of ward-based and clinic-based clinical pharmacists, based on health outcome, health costs and safe delivery of care. METHODS This descriptive study was derived from a structured dialogue (Delphi technique) among directors of pharmacy department. We established a quantitative profile of healthcare programmes at five sites that involved the provision of ward-based and clinic-based pharmaceutical care. A summary table of evidence established a unique quality rating per inpatient (clinic-based) or outpatient (ward-based) healthcare programme. Each director rated the perceived impact of pharmaceutical care per inpatient or outpatient healthcare programme on three fields: health outcome, health costs and safe delivery of care. They agreed by consensus on the final ranking of healthcare programmes. KEY FINDINGS A ranking was assigned for each of the 18 healthcare programmes for outpatient care and the 17 healthcare programmes for inpatient care involving the presence of pharmacists, based on health outcome, health costs and safe delivery of care. There was a good correlation between ranking based on data from a 2007-2008 Canadian report on hospital pharmacy practice and the ranking proposed by directors of pharmacy department. CONCLUSIONS Given the often limited human and financial resources, managers should consider the best evidence available on a profession's impact to plan healthcare services within an organization. Data are few on ranking healthcare programmes in order to prioritize which healthcare programme would mostly benefit from the delivery of pharmaceutical care by ward-based and clinic-based pharmacists.
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Bussières JF, Tollec S, Martin B, Malo J, Tardif L, Thibault M. Démarche pour la mise à niveau d’un secteur de soins pharmaceutiques : le cas de la néonatologie. ANNALES PHARMACEUTIQUES FRANÇAISES 2010; 68:178-94. [DOI: 10.1016/j.pharma.2010.03.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2009] [Revised: 03/10/2010] [Accepted: 03/17/2010] [Indexed: 11/16/2022]
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