Dissertations / Theses: 'Pharmacies'

1

Morvan, Ollivier Alliot Anne. "L'acquisition d'une officine de pharmacie." [S.l.] : [s.n.], 2003. http://theses.univ-nantes.fr/thesemed/PHmorvan.pdf.

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Combes, Cécile Truchaud Alain. "Le pharmacien hospitalier dans la recherche clinique comparaison France - Québec /." [S.l.] : [s.n.], 2004. http://theses.univ-nantes.fr/thesemed/PHcombes.pdf.

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3

Poizat, Cécile. "Une officine rurale de 1888 à 1945 à travers une famille de pharmaciens : les Poizat-Gabrielle." Lyon 1, 1994. http://www.theses.fr/1994LYO1P073.

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4

Fallourd, Guillaume. "La concurrence entre pharmaciens d'officine libérale." Paris 11, 2002. http://www.theses.fr/2002PA111007.

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5

Delitte, Patricia. "Projet d'élaboration d'un manuel qualité à la pharmacie de l'hôpital d'Eaubonne, Val d'Oise." Paris 5, 1995. http://www.theses.fr/1995PA05P134.

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Akay, Elisabeth. "Le régime français de la distribution au détail du médicament à l'officine." Paris 8, 2009. http://www.theses.fr/2009PA082909.

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Au 18ème siècle, on assista en France à une renaissance de l'art pharmaceutique ; les progrès de la chimie ont permis d'isoler de nombreux principes actifs. Le développement de la pharmacie industrielle ne se fera qu’au 20ème siècle. Depuis, la recherche scientifique n'a cessé de créer de nouvelles spécialités pharmaceutiques de plus en plus performantes, complexes et dangereuses si elles ne sont pas fabriquées et commercialisées dans des conditions adéquates. L'exercice traditionnel, orienté vers la préparation des médicaments à la demande des patients a peu à peu laissé place aux nouvelles techniques de production et de commercialisation. Dès lors, la responsabilité civile, pénale ou disciplinaire des pharmaciens s'est déplacée de l'erreur dans l'exécution d'une formule vers une faute lors de la dispensation de spécialités officinales. Le pharmacien a un rôle protecteur, il pèse sur lui un besoin croissant de sécurité sanitaire : contrôle de la qualité de la prescription avant la délivrance au patient, connaissance parfaite des produits officinaux. La qualité des nouvelles pratiques officinales ne pourra être atteinte si l'acte pharmaceutique ne prend pas en compte l'optimisation des traitements par des interventions efficaces auprès des prescripteurs
The 18th century witnessed the rebirth of pharmaceutical art in France; the progress of chemistry allowed to isolate numerous active ingredients. The development of industrial pharmacy only occurred in the 20th century. Ever since, scientific research has never ceased to create new pharmaceutical specialties that are more and more competitive, complex and dangerous if they are not manufactured and commercialized in adequate conditions. The traditional practice, oriented toward the preparation of medicines at the request of patients, has gradually been replaced by new manufacturing and commercialization techniques. Hence, the civil, penal or disciplinary liability of pharmacists has shifted from the error in the preparation of a formula to a mistake during the distribution of medicinal specialties. The pharmacist has a protective role and is subject to an increasing burden of health safety requirements: Quality control of the prescription before the dispensation to the patient, perfect knowledge of medicinal products. The quality of new medicinal practices will not be achieved if the pharmaceutical act does not take into account the optimization of treatments by efficient interventions with the prescribers

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Beyerlein, Berthold Schmitz Rudolf. "Die Entwicklung der Pharmazie zur Hochschuldisziplin : 1750-1875 : ein Beitrag zur Universitäts- und Sozialgeschichte /." Stuttgart : Wissenschaftliche Verlagsgesellschaft, 1991. http://catalogue.bnf.fr/ark:/12148/cb35712727x.

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8

Bravo, David. "Le pharmacien d'officine : un interlocuteur polyglotte ou l'avenir de la profession pharmaceutique officinale." Paris 5, 1999. http://www.theses.fr/1999PA05P002.

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9

McKinley, Brian, Seung Oh, David Zucarelli, and Rebekah Jackowski. "Availability and Cost of Pharmacist-Provided Immunizations at Community Pharmacies in Tucson, Arizona." The University of Arizona, 2013. http://hdl.handle.net/10150/614252.

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Class of 2013 Abstract
Specific Aims: The objective of this study was to examine the availability of immunizations in community pharmacies and the out-of-pocket cost for those immunizations. Methods: Twelve community pharmacies in the Tucson area were examined and one pharmacist in each store was asked to complete a questionnaire. This questionnaire aimed to determine individual immunizations offered at each pharmacy and the out-of-pocket cost for those immunizations. Main Results: Differences in the availability and cost of immunizations were compiled for each category of community pharmacy. The categories included Supermarket/grocery store, chain, Mass merchant/big box, and independent pharmacy. Seven of the twelve (58%) pharmacies included in the analysis participated in pharmacist-based immunizations. Three out of the four (75%) supermarket based pharmacies, both chain pharmacies, and two of the four (50%) mass merchant pharmacies, provided immunizations. Neither of the independent pharmacies included in the analysis provided immunizations. The pharmacies that did not currently provide immunizations, none had plans in the future to provide immunizations. There were no other non-prescription immunizations provided at the pharmacies in the study. All seven pharmacies that provided immunization services stated they would accept insurance and only one of the chain pharmacies had a walk in clinic. Conclusion: Overall this study demonstrated that there are differences associated with cost and availability of immunization services offered between pharmacies. Further research is needed to determine what hinders community pharmacy from offering immunization services and how to develop a form of commonality between all immunizations offered.

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10

Martineau, Megan, Stephanie Yandow, and Stephanie Hines. "Job Satisfaction Among Tucson Area Chain Community Pharmacists: Results from a Pilot Study." The University of Arizona, 2012. http://hdl.handle.net/10150/623643.

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Class of 2012 Abstract
Specific Aims: The purpose of this study was to assess the overall satisfaction of Tucson area pharmacists in the community retail setting and to identify the facets of community practice that have the greatest contribution to job satisfaction and dissatisfaction. Methods: Surveys were sent by facsimile to all community retail pharmacies in the Tucson area. All pharmacists working in these stores were encouraged to respond to the survey by faxing back the paper copy or by responding to the online version of the survey at surveymonkey.com. Respondents were asked to rate their job satisfaction and demographic data were also collected. Main Results: Questionnaires were completed and returned by 32 pharmacists, an estimated response rate of 10%. After reviewing the returned surveys, four questions were chosen from the satisfaction portion to determine their relationship to the job satisfaction ratings. Those four variables were “recognition one receives for good work”, “opportunity to use abilities”, “hours of work”, and “patient contact”. Those four satisfaction variables were then analyzed using the demographic grouping variables “other experience”, “store type” and “degree earned”. Following analysis, only hours of work was found to play a significant role with pharmacy job satisfaction when grouped by other experience. Conclusions: The area of community pharmacy practice that affects job satisfaction the most is hours of work, which is especially true when pharmacists have work experience outside of community practice.

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11

Després, Caroline. "Les pharmacies familiales au senegal." Lille 2, 1991. http://www.theses.fr/1991LIL2M089.

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12

Nordén-Hägg, Annika. "Failure-Free Pharmacies? : An Exploration of Dispensing Errors and Safety Culture in Swedish Community Pharmacies." Doctoral thesis, Uppsala universitet, Institutionen för farmaci, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-129946.

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Quality in pharmacies includes aspects such as error management and safety issues. The objective of this thesis was to explore these aspects of quality in Swedish community phar-macies. The specific aims were to compare a paper-based and a web-based reporting system for dispensing errors, regarding reporting behaviour and data quality. The impact of an intervention; a technical barrier, for preventing dispensing errors was evaluated. A survey tool, the Safety Attitudes Questionnaire (SAQ), was adapted to Swedish pharmacies and used to describe the safety culture in these pharmacies. The potential relationship between safety culture and dispensing errors was also explored. Data was retrieved from the paper- and web-based reporting systems, semi-structured interviews as well as from a survey, using SAQ. The change in reporting system for dispensing errors increased the reporting of errors and enhanced the completeness of reported data. The web-based system facilitated follow-up and identification of preventive measures, but was associated with implementation problems. The intervention was associated with a significant decrease in the overall number of dispensing errors and, specifically, reports on errors with the wrong strength, and errors caused by registration failure in the pharmacy computers. The Swedish version of the survey tool, SAQ, demonstrated satisfying psychometric properties. No correlation between the SAQ Safety Climate dimension and dispensing errors was seen, while a positive relationship between the SAQ Stress Recognition dimension and dispensing errors was established. A number of other pharmacy characteristics, such as number of dispensed prescription items and employees, displayed positive relationships with dispensing errors. Staff age demonstrated a negative relationship with dispensing errors while other demographic variables such as national education background showed a positive relationship.

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13

Bergqvist, Jimmy, Henrik Wolf, and Gustav Stigson. "From monopoly to private pharmacies : Buy-out and franchising: Finding the entrepreneur within the pharmacist." Thesis, Jönköping University, JIBS, EMM (Entrepreneurship, Marketing, Management), 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-12381.

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One of Sweden’s most well known monopolies is approaching its end, Apoteket AB. A re-regulation of a state owned monopoly is nothing new but it happens within an interesting trade. Since the government is in total control of the whole re-regulation process, we found it interesting to see how they managed to include the potential individuals who want to take over a pharmacy. After all, many are the times the government has emphasized the importance of small firms.

Out of the approximately 900 pharmacies owned by Apoteket AB, 150 are going to be sold to individuals. This group is called “small enterprise cluster”, and this cluster became the focus of our thesis. We wanted to get an insight into this group, since it is more complex and diverse compared to the large corporations entering the market.

Purpose

The purpose of this thesis is to measure the willingness to take over pharmacies among the employees of Apoteket AB, as well as to analyse how the government's support has affected the decisions of individuals.

Method

In order to get a good view of the re-regulation process we chose a qualitative approach, where we performed personal interviews with 6 respondents equally spread out on 3 pharmacies in a medium sized Swedish city and the surrounding area. The interviews where performed in a semi-structured manner.

Besides the primary data, secondary data was collected. It builds the foundation for the theoretical framework and the analysis of the interviews. Since the theoretical framework was created before the research was performed, the study used a deductive research approach.

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14

Stephenson, Stefanie L. "Kentucky pharmacists' opinions and practices related to the sale of cigarettes and alcohol in pharmacies." Virtual Press, 2000. http://liblink.bsu.edu/uhtbin/catkey/1180785.

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The objective of the study was to augment important findings from a 1996 statewide survey of Indiana pharmacists regarding their opinions and practices related to the sale of cigarettes and alcohol in pharmacies. More specifically, this study was designed (1) to determine opinions and practices of Kentucky pharmacists' related to the sale of cigarettes and alcohol; (2) compare these findings with results from the Indiana study; and (3) to gather information on health promotion activities by Kentucky pharmacists. A structured survey questionnaire was designed and reviewed by a jury of experts and subsequently administered to half of the 1182 pharmacies in Kentucky. Collected data were analyzed using descriptive and inferential statistical methods.Findings reveal that 45% of responding pharmacists sell cigarettes in their stores although 88% think their stores should not sell cigarettes. Approximately 34% of pharmacies in non-dry counties sell alcoholic beverages while more than four-fifths of the pharmacists (81%) think pharmacies should not sell alcoholic beverages. After adjusting by type of pharmacy, no statistical difference was found in retail-chain pharmacy sales of cigarettes and alcohol in either Kentucky or Indiana. However, independent pharmacies in Kentucky were less likely to sell cigarettes and alcohol compared to independent Indiana pharmacies. Study results also revealed that most pharmacists agree the use of cigarettes and alcohol are important causes of morbidity and pre-mature mortality and that pharmacists should play a role in health promotion and disease prevention through their relationship with the public.
Department of Physiology and Health Science

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15

Clément, Marie-Thérèse. "Les syndicats pharmaceutiques de l'officine (syndicats d'exploitants ou de sociétés d'exploitation pharmaceutiques)." Paris 11, 1989. http://www.theses.fr/1989PA114819.

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16

Le, Nay Jean-Vincent Ould Aoudia Vincent. "Les pansements de l'escarre élaboration d'un outil de formation pour le pharmacien et son équipe officinale /." [S.l.] : [s.n.], 2009. http://castore.univ-nantes.fr/castore/GetOAIRef?idDoc=56431.

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17

Guinsbourg, Séverine. "Pharmacies en difficulté : éléments d'analyse et tentative d'amélioration." Paris 5, 1996. http://www.theses.fr/1996PA05P017.

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18

Popova, І. S. "Review of ancient pharmacies in Chernivtsy." Thesis, Буковинський державний медичний університет, 2012. http://dspace.bsmu.edu.ua:8080/xmlui/handle/123456789/1448.

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19

Joachim, Anifath. "La nouvelle rémunération des pharmaciens d'officine sur les spécialités pharmaceutiques remboursables." Bordeaux 2, 2000. http://www.theses.fr/2000BOR2P013.

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20

Sundaram, Suvarna. "Developing a staffing model and improving work practices of a hospital pharmacy system." Diss., Online access via UMI:, 2008.

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Thesis (M.S.)--State University of New York at Binghamton, Thomas J. Watson School of Engineering and Applied Science, Department of Systems Science and Industrial Engineering, 2008.
Includes bibliographical references.

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21

Servel, Alice Mauguen Yves. "Informatisation des officines exemple de la Vendée; situation 2004 /." [S.l.] : [s.n.], 2005. http://theses.univ-nantes.fr/thesemed/PHservel.pdf.

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22

Rousselin, Isabelle Mauguen Yves. "Informatique et automatisation en officine." [S.l.] : [s.n.], 2003. http://theses.univ-nantes.fr/thesemed/PHrousselin.pdf.

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23

Perret, Claire Grimaud Nicole. "Perspectives de la pratique officinale française une évolution vers le modèle québécois ? /." [S.l.] : [s.n.], 2008. http://castore.univ-nantes.fr/castore/GetOAIRef?idDoc=40401.

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24

Pimbel, Michel. "La formation permanente du pharmacien d'officine." Strasbourg 1, 1985. http://www.theses.fr/1985STR10523.

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25

Berteaux-Pilleux, Valérie. "Romagne : une création d'officine par dérogation." Paris 5, 1998. http://www.theses.fr/1998PA05P113.

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26

Ramkhalawon, Shabeerah. "Antibiotic stewardship: the role of clinical pharmacist." Thesis, Nelson Mandela Metropolitan University, 2015. http://hdl.handle.net/10948/10858.

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South Africa has a high prevalence of infectious diseases; the major ones being the Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome epidemic, and tuberculosis. South Africa’s burden of resistant bacteria is also increasing. Antibiotic resistance in hospitalised patients leads to an increase in morbidity and mortality, resulting in longer hospital stays, and an increase in hospital costs. In order to counteract the problem of antibiotic resistance in hospitals and other healthcare facilities and preserve the efficacy of currently available antibiotics, there is a need for serious antibiotic management. Antibiotic stewardship initiatives have thus been put in place to guide healthcare professionals on the correct use of antibiotics. Clinical pharmacists can intervene and contribute to antibiotic stewardship owing to comprehensive knowledge of antibiotics, including the properties, uses, safety and efficacy of individual agents. There is a paucity of research to support the role of the clinical pharmacist in antibiotic stewardship in public sector hospitals. The current pharmacist staffing system within public sector hospitals does not adequately support pharmacists, in particular clinical pharmacists, to participate actively in antibiotic stewardship. The primary aim of the study was to evaluate the role of the clinical pharmacist in antibiotic stewardship in a public hospital setting. A secondary aim was to contribute towards more rational inpatient use of antibiotics in the general medical ward. The hypothesis for the study was that clinical pharmacists can make a positive contribution to the correct use of antibiotics in a public hospital setting. The study showed that the introduction of a pharmacist-driven antibiotic stewardship in the ward, using a prospective audit and feedback strategy, had a positive effect on overall appropriateness of antibiotic prescribing (Chi2=7.89; df=3; p=0.04815, Cramer’s V=0.13). However, this finding did not show any reduction in the volume of antibiotic use. Positive patient outcomes were achieved and shown through a reduction in the length of hospital stay (p=0.00487; one-way ANOVA). Although patients were not followed up on discharge to assess re-admission rates, the results are relevant in order to inform the hospital staff about the implementation of antibiotic stewardship at the public hospital setting with the aims of reducing inappropriate antibiotic prescribing and improving patient outcomes. From the results of the study, it can be concluded that the hypothesis was achieved and that the clinical pharmacist did play an integral role in antibiotic prescribing at the public hospital setting. Thus, it can be concluded that the study, though limited in its scope, achieved its aims and objectives, and showed that the clinical pharmacist does play an integral role in the rational use of antibiotics in a public hospital setting.

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Derigny, Sophie. "L'espace client : un outil à la disposition du pharmacien d'officine pour améliorer la satisfaction de sa clientèle." Paris 5, 1994. http://www.theses.fr/1994PA05P193.

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Décaudin, Bertrand. "L'exercice de la pharmacie hospitalière en établissement de santé." Lille 2, 2006. http://www.theses.fr/2006LIL20005.

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L'examen des données légales et réglementaires montre l'étendue des missions des pharmacies à usage intérieur et témoignent de l'importance des responsabilités du pharmacien hospitalier. Les évolutions réglementaires récentes nous mènent à penser que le développement de l'activité pharmaceutique en établissement de santé va se traduire par une plus grande intégration de l'acte pharmaceutique, sans cesse plus technique et clinique, dans le processus de soins. Il est remarquable de noter que les différents régimes de mise en jeu de la responsabilité du pharmacien hospitalier ont peu donné matière à jurisprudence spécifique. Toutefois, à la lumière des évolutions jurisprudentielles actuelles, il apparaît clairement que le pharmacien exerçant en pharmacie à usage intérieur doir entreprendre toutes les mesures nécessaires à la réalisation d'un acte pharmaceutique de qualité
Hospital pharmacy is responsible for dispensing pharmaceutical products and services for own hospital inpatients. Assessment of regulation data shows how the missions assigned to hospital pharmacy are important. The recent evolutions of hospital pharmacy prerogatives lead to the development of the hospital pharmaceutical activity as a more clinical and technical act. These evolutions highlight the place of the hospital pharmacist in the patient treatmant. Nevertheless, specific hospital pharmacist jurisprudence is very poor. In front of the evolution of medical responsability, hospital pharmacist must undertake all measurements necessary to the realization of a qualityful pharmaceutical act

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29

Locatelli, Corinne. "Achat des dispositifs médicaux : rôle et responsabilité du pharmacien hospitalier, application aux sondes d'intubation endotrachéale." Paris 5, 1995. http://www.theses.fr/1995PA05P009.

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30

Lemaire, Dominique. "Fonctionnement de la pharmacie centrale des hôpitaux en suivant ses interventions dans le cas de l'Oflocet et de l'Eurocollins." Paris 5, 1989. http://www.theses.fr/1989PA05P068.

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31

Dufrechou, Nathalie. "Le cadre juridique des achats pharmaceutiques à l'hôpital public." Bordeaux 2, 1991. http://www.theses.fr/1991BOR2P083.

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32

Reis, De Carvalho M. J. "Extemporaneously compounded oral medicines in European hospital pharmacies." Thesis, University College London (University of London), 2013. http://discovery.ucl.ac.uk/1396480/.

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Pharmaceutical compounding corresponds to the preparation of customised medicines in order to meet the specific needs of patients, which cannot be met by the proprietary medicines provided by the pharmaceutical industry. Historically, pharmaceutical compounding dates back to the very origins of pharmacy and, ever since, it has been an integral part of pharmacy practice. Nevertheless, little is known regarding current compounding practices in Europe and, therefore, the aim of this project was to identify and characterise the oral compounded medicines most frequently dispensed in European hospital pharmacies. The research method adopted was a large-scale, international (European) survey and the research instrument was a self-completion (country-specific) questionnaire. A total of 11 European countries were included in the research: Portugal, UK, Switzerland, Poland, Netherlands, Denmark, Slovenia, Finland, Spain, France and Germany. For most countries, a purposive sample of hospitals was contacted and invited to contribute data regarding the oral compounded medicines most frequently dispensed in their pharmacies. The pilot-study was launched in Portugal but fieldwork was undertaken in most countries. Information regarding legislation, professional organisations and information sources relevant to pharmaceutical compounding was also collected. The oral compounded medicines most frequently dispensed in hospital pharmacy varied considerably throughout Europe, from traditional cachets in Poland to complex tablets in the Netherlands and Denmark. A wide range of active substances, including NTI drugs, and dosage strengths were dispensed. Compounded medicines were prepared individually and also in batches of variable sizes. There is little consistency of compounding practices in Europe and there is a need for common legislation, professional organisations and information sources. This project corresponds to the largest and most complex research in pharmaceutical compounding across Europe and aims to contribute to the harmonisation of quality and safety of compounded medicines in Europe.

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33

Graciet, Jean-Marc. "La pharmacie du Mirail : histoire d'une pharmacie bordelaise (1830-1996)." Bordeaux 2, 1996. http://www.theses.fr/1996BOR2P094.

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34

Ciron, Marlène. "Dispensation informatisée au centre hospitalier de Mont de Marsan : conception et réalisation d'un audit préalable." Bordeaux 2, 1996. http://www.theses.fr/1996BOR2P107.

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35

Miller, Laurent. "Etude des centres d'information sur le médicament en France (hors centres de pharmacovigilance et laboratoires pharmaceutiques)." Paris 5, 1993. http://www.theses.fr/1993PA05P169.

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Rees, Lois. "The provision of disease prevention services from community pharmacies." Thesis, University College London (University of London), 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.339279.

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Kalayoglu, Murat Veysel. "Pharmacies and medication adherence : a customer-oriented opportunity analysis." Thesis, Massachusetts Institute of Technology, 2006. http://hdl.handle.net/1721.1/37119.

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Thesis (M.B.A.)--Massachusetts Institute of Technology, Sloan School of Management, 2006.
Includes bibliographical references (leaves 50-53).
Medication non-adherence is one of the most costly and difficult problems in healthcare today. In the United States alone, half of the 3.5 billion prescriptions dispensed are not taken as prescribed, costing our healthcare system an estimated $100 billion. Ten percent of all hospitalizations and 125,000 deaths each year are attributable directly to non-adherence to medicines. Medication non-adherence is a complex, multi-faceted problem and potential ways to increase adherence to medications traditionally have focused on the physician - patient relationship. However, medication dispensing requires an additional interaction between the pharmacy and patient, and properly-incentivized pharmacies employing unique adherence programs may be capable of enhancing adherence above and beyond existing methods. This thesis explores how traditional chain and independent drugstore pharmacies 1) prioritize medication adherence; and 2) may benefit from instituting medication adherence programs. The hypothesis tested was that pharmacies would benefit substantially from instituting adherence programs.
(cont.) Data from interviews, company financials and industry reports were used to quantify a value proposition for the drugstore pharmacy. Interviews revealed a strong disconnect in emphasis placed on medication adherence between pharmacy schools (strong emphasis) versus pharmacies (moderate to weak emphasis). Within subgroups of pharmacies, chain and independent drugstore pharmacies placed lower priority on medication adherence compared with specialty and hospital pharmacies. Data collected for this thesis also indicated that a 25% increase in medication compliance would increase a community drugstore's annual revenues by $1.7 M and annual gross profits by over $400,000. These findings indicate that an untapped opportunity exists for drugstore pharmacies to boost revenue by investing in technologies and services to increase medication adherence.
by Murat V. Kalayoglu.
M.B.A.

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38

Lelubre, Melanie. "Implementation Study of Professional Pharmacy Services in Community Pharmacies." Doctoral thesis, Universite Libre de Bruxelles, 2018. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/268974.

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Introduction: In recent year, the role of the pharmacist has evolved from product-focused to patient-focused activities. Following this evolution, new professional pharmacy services were simultaneously developed by researchers and started to be legally implemented and remunerated for community pharmacists around the world. Implementation, essential to ensure a good programme delivery and therefore its effectiveness, was seen as a passive process for which diffusion and dissemination were sufficient to translate research into practice. However, the transition from theory to practice is often difficult as different factors hinder or facilitate the implementation of such services. In consequence of that, implementation research started to be developed in the community pharmacy field to understand and fil the gap between theory and practice.Objectives of the thesis: Three projects were conducted in Belgium and Switzerland; (1) to understand the implementation of an existing programme in Belgium; the isotretinoin pregnancy prevention programme (PPP) (Chapter IV, point 4.1), and (2) to study the implementation of two new developed pharmaceutical services, which include an interview between the pharmacist and the patient and require interprofessional collaboration; the medication adherence program in Switzerland and the medication review in Belgium (Chapter IV, point 4.2). Methods: To understand the implementation of the isotretinoin PPP, two studies were conducted. The first study was a survey sent to health care professionals (pharmacists, general practitioners and dermatologists) and patients. The outcomes of the survey were the PPP awareness and compliance to safety recommendations related to the teratogenic risk of isotretinoin. The second study was cross-sectional and analysed the reimbursed prescription data of the Belgian population taking isotretinoin between January 2012 and August 2015. The outcomes were medication adherence to isotretinoin and to contraception, and the concomitant use of contraception and isotretinoin. Medication adherence was measured using the medication possession ratio (MPR), dividing the total days of medication supplied within the refill interval by the number of days in the refill interval. The concomitant use of isotretinoin and contraception was realised in combining prescription database of both isotretinoin and contraception of women between 12 and 21 years old, who received at least one prescription of isotretinoin during the study period.To study the implementation of the medication adherence program in Switzerland and the medication review service in Belgium, two prospective and observational studies were conducted with a mixed method approach (quantitative and qualitative outcomes). The defined outcomes, based on the RE-AIM model, were; reach of the target patients, adoption of the service by health care professionals providing the service, implementation (facilitators, barriers and fidelity or the extent to which the intervention is delivered as intended), and maintenance (the extent to which the intervention become institutionalized or part of the routine activity). Outcomes were collected through web platforms for quantitative data, and interviews and focus groups for qualitative data.Results and discussion: The study of the isotretinoin PPP implementation showed that two safety recommendations related to the teratogenic risk were particularly poorly applied by interviewed health care professionals. These two recommendations were the use of a second contraceptive method (like condoms) and the monthly pregnancy test. They considered these two recommendations as unnecessary for women taking an effective contraceptive method. Through the prescription refill data analysis, we observed that 46.1% of patients were adherent to isotretinoin (MPR ≥ 0.8) and 74.0% of women taking isotretinoin to their prescribed contraception (oral contraceptive, rings and patches). Lastly, 83.4% of women between 12 and 21 years taking isotretinoin did not receive an effective contraceptive method one month before, during and one month after isotretinoin treatment. However, the proportion of women receiving at least one prescription of contraception during (74.1%) and after (72.1%) isotretinoin treatment was higher than one month before isotretinoin treatment (35.7%). Regarding these results, less adopted recommendations should be reviewed by an expert committee and interventions focused on the improvement of the use of contraception during isotretinoin treatment could be developed.The two studies related to two new developed pharmaceutical services showed that their implementation was feasible in community pharmacy practice. Most of pharmacists participating in both projects had positive attitude regarding the implementation of these services in their daily practice. They considered it as professionally satisfying and important for patients and perceived the benefits of the programs. However, similar barriers were observed; difficulties to include patients and lack of interprofessional collaboration, and lack of time (related to lack of staff, administrative burden and lack of team adoption). According to participating health care professionals, the development of new strategies to overcome these barriers is necessary to anticipate the future implementation and the maintenance of these services at the national level. Following these results, the proposed strategies are for example the development of broad based media campaigns (for health care professionals and patients), or the development of specific trainings focusing on interprofessional collaboration, service-process, practice change management and leadership. Conclusion: The legal evolution of the pharmacists’ role is a positive progress but insufficient to ensure a full implementation in practice. Implementation strategies should be considered at different implementation stages (exploration, preparation, testing, operation and maintenance) and levels (individual, pharmacy, local setting, and system). The use of implementation science would allow a quicker and more effective implementation of these new professional pharmacy services. The anticipation of change and the selection of appropriate strategies would allow a higher fidelity level to the different components of the service by health care professionals and therefore a higher effectiveness, e.g. clinical and economic outcomes. Health care professionals, professional associations, academics and policy makers should be aware of implementation science and integrate it in the development of the new pharmacists’ role. As shown in our results, it should also be considered for existing programmes such as the isotretinoin PPP.
Doctorat en Sciences biomédicales et pharmaceutiques (Pharmacie)
info:eu-repo/semantics/nonPublished

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Buresh, Megan, Shawna Morgan, and Carrie Sepp. "Implementation of Medication Therapy Management (MTM) in Community Pharmacies." The University of Arizona, 2008. http://hdl.handle.net/10150/624309.

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Class of 2008 Abstract
Objectives: The purpose of this study was to identify how community pharmacies have integrated medication therapy management (MTM) programs into their workflow and specifically determine the changes that were made in order to deliver such services. Methods: This was a descriptive study on the implementation of MTM programs in community pharmacies. Pharmacy managers associated with Cardinal Health, Medicine Shoppe International, United Drugs, the Iowa Pharmacy Association (IPA) and 10 additional selected pharmacists were invited to take an online survey regarding MTM program implementation in their pharmacy. Exclusion criteria were those pharmacists that did not provide any MTM services from January 2006 through December 2007. The primary dependent variables included time spent training, time to complete clinical pharmacy program sessions, scheduling and implementing clinical pharmacy sessions, staffing, and cost for additional equipment. Data analysis included percents and frequencies for categorical variables addressed in the internet survey. Results: Pharmacists that participated in this survey were mostly male (82%) and had been practicing for greater than 10 years. Only 3 out of 17 participants were female and all were a part of the group practicing for less than 10 years. The majority of participants in both groups completed 0-2 MTM sessions per week (p=0.65). In order to complete these sessions, the hiring of additional staff was not required (82%) nor was the purchase of additional equipment (70%). Conclusions: The implementation of MTM programs in community pharmacies requires little to no additional time or money. With this data, more pharmacists should be inclined to provide MTM sessions.

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Bodereau, Dominique. "Le pharmacien face au marché des officines." Nantes, 1986. http://www.theses.fr/1986NANT477P.

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Bartoli, Lauren. "Trends in the Number and Location of Independent Pharmacies in the United States." The University of Arizona, 2011. http://hdl.handle.net/10150/623570.

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Class of 2011 Abstract
OBJECTIVES: To determine the trends in number and location of independent pharmacies across the United States. METHODS: Data was collected from the NCPA Digest from 2006, 2007, and 2008. Census data was obtained from the U.S. Census Bureau using the 2000 Census. RESULTS: Overall, the number of independent pharmacies increased by nearly 1000 from 2006 to 2008. However, each state had varying results. There was a clear difference between the average rural population and the average percentage of independent pharmacies across the U.S. CONCLUSION: Independent pharmacies have grown in number in recent years, but more studies should be done to include a greater time period and more recent data.

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Brassard, Louis. "La pharmacie en contexte hospitalier : une mission à définir /." Thèse, Chicoutimi : Université du Québec à Chicoutimi, 1990. http://theses.uqac.ca.

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Mémoire (M.P.M.O.)--Université du Québec à Chicoutimi, 1990.
"Mémoire de maîtrise en gestion des petites et moyennes organisations, Université du Québec à Chicoutimi" CaQCU Document électronique également accessible en format PDF. CaQCU

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Macalush, Leonard Herbert. "A policies and procedures manual for the operation of a pharmacy department within a two hundred bed hospital." Instructions for remote access. Click here to access this electronic resource. Access available to Kutztown University faculty, staff, and students only, 1991. http://www.kutztown.edu/library/services/remote_access.asp.

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David-Talbot, Mélanie Pouchus Yves-François. "L'agencement et l'automatisation adaptés à une pharmacie nouvelle." [S.l.] : [s.n.], 2003. http://theses.univ-nantes.fr/thesemed/PHdavidtalbot.pdf.

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Chaillou, Nicolas Pineau Alain. "Quelques aspects indispensables du Code du commerce et du code du travail applicables en pharmacie d'officine." [S.l.] : [s.n.], 2005. http://theses.univ-nantes.fr/thesemed/PHchaillou.pdf.

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Salomon, Antoine Pouchus Yves-François. "L'aspect commercial de la pharmacie d'officine situation et avenir /." [S.l.] : [s.n.], 2005. http://theses.univ-nantes.fr/thesemed/PHsalomon.pdf.

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Turkistani, Yasir Abdulkader. "Pharmaceutical services provision in acute independent hospitals in the UK." Thesis, University of Bath, 1997. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.338410.

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Baur, Carole. "Perspectives d'évolution de la pharmacie d'officine dans le contexte économique et socioculturel." Strasbourg 1, 1988. http://www.theses.fr/1988STR15063.

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Trameaux, Gilles. "La pharmacie vétérinaire et le pharmacien." Paris 5, 1998. http://www.theses.fr/1998PA05P223.

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Maillard, Sophie. "Pharmacie, pharmacien et médicament à travers le dessin de presse (1950-2000)." Bordeaux 2, 2000. http://www.theses.fr/2000BOR2P098.

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Dissertations / Theses on the topic 'Pharmacies'

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