Pharmacist-led medication for pain in France: What population are we talking about? Results of the Optymed study
| Autor: | Juliette Lacombe, Stéphane Delouya, Claire Desericourt, Guillaume Crosnier, Jean-Yves Milon |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Cross-sectional study Health Status Population Pharmacist Nonprescription Drugs Context (language use) Pharmacy Self Medication Pharmacists 030226 pharmacology & pharmacy 03 medical and health sciences Sex Factors 0302 clinical medicine Humans Medicine 030212 general & internal medicine Medical prescription education Aged Pain Measurement Pharmacies Analgesics education.field_of_study business.industry Age Factors General Medicine Middle Aged Acute Pain Cross-Sectional Studies Socioeconomic Factors Health Care Surveys Sample Size Family medicine Female France Chronic Pain Headaches medicine.symptom business Self-medication |
| Zdroj: | La Presse Médicale. 48:e273-e283 |
| ISSN: | 0755-4982 |
| DOI: | 10.1016/j.lpm.2019.07.038 |
| Popis: | Summary Objectives Self-medication for alleviating pain is very prevalent in most countries. While safe self-medication is supposed to be dependent on both patient's behaviour and pharmacist's counselling, little is known about the context of the delivery of analgesics available without prescription. The primary objective of the study was to define sociodemographic profiles and behaviours of patients seeking non-prescribed analgesics in French community pharmacies. Secondary objectives included the assessment of pharmacist management and identification of risk-associated patients. Methods This is a cross-sectional, national and multicentre study, including adults who asked for a prescription-free medication for acute or chronic physical pain. Information was collected through separate patient and healthcare professional (HCP) questionnaires. Results The analysis was based on 1215 and 1271 patient and HCP questionnaires, respectively, collected from 164 pharmacies. The patient population consisted in women and men (ratio 6:4), mainly (71%) under 60 years old. Headaches, rheumatologic and musculoskeletal pains were the most frequent reasons for getting analgesics, with a median pain intensity of 6 on a scale graded from 0 (no pain) to 10 (intolerable pain). The main reasons guiding self-medication were time saving, a well-known pain and a well-known product. The mean time allocated to delivery was 4.7 minutes. Indications, dose and posology were almost systematically addressed by the pharmacy staff, while contra-indications, drug-drug interaction or safety were mentioned in around two-third of cases. The proportion of patients identified at risks due to an inappropriate context of self-medication was 15.5%. Discussion and conclusions This study shows a great heterogeneity of the population asking for non-prescribed analgesics in French community pharmacies. While pharmacists were able to identify patients at risks, a significant part may have ‘slipped through the net’. The results support further studies to better define patient care pathway and optimize pharmacist-led medication. |
| Databáze: | OpenAIRE |
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