Covid-19: The impact of lockdown on the dispensing of hospital drugs to outpatients

IF 0.3 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Lucas Aghnatios, Guillaume Flandin Rofes, Sonia Caroline Sorli, Philippe Cestac, Arnaud Pages, Frédéric Eyvrard
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引用次数: 0

Abstract

Introduction: In response to the COVID-19 pandemic, France was under lockdown for the first time from March 17 to May 10, 2020.

Purpose of the research: The aim of this work is to study the impact of lockdown on outpatients’ visits to the hospital pharmacy to collect chronic medication, in order to highlight the pharmaceutical classes concerned and to assess whether a decrease in medication adherence could be observed.

Method: Retrospectively, using hospital dispensing traceability software, the dispensing of drugs during the eight weeks of lockdown was compared with that during the two eight-week periods before and after lockdown. Evolutions in the number of medicine lines dispensed and outpatient visits were analyzed over the three time periods, according to pharmaceutical classes. A specific analysis was performed between drugs only available at the hospital pharmacy and drugs available at both the community and hospital pharmacy.

Results: During lockdown, 67% of patients still came regularly, but a significant decrease in the average number of lines dispensed was observed. 15% of regular patients limited their visits during this period. Patients taking drugs available at both the community and hospital pharmacy were significantly more impacted than those taking drugs that could only be dispensed at the hospital pharmacy. On the other hand, age is not a factor associated with the restriction of visits.

Conclusions: Lockdown affected the visits to the hospital pharmacy of at least one in ten regular outpatients. Sending hospital drugs to community pharmacies and the help of home health care providers limited therapeutic disruptions.

Covid-19:封锁对向门诊病人发放医院药物的影响
导言:为应对COVID-19大流行病,法国于2020年3月17日至5月10日首次实行封锁:这项工作旨在研究封锁对门诊患者前往医院药房领取慢性药物的影响,以突出相关药品类别,并评估是否可以观察到服药依从性的下降:方法:利用医院配药追踪软件,对封锁八周期间的配药情况与封锁前后两个八周期间的配药情况进行了比较。根据药品类别分析了三个时间段内配药次数和门诊人次的变化情况。对仅在医院药房出售的药品和在社区及医院药房出售的药品进行了具体分析:在封锁期间,67% 的患者仍定期前来就诊,但平均配药次数明显减少。15%的定期患者在此期间限制了就诊次数。与服用只能在医院药房配发的药物的患者相比,服用社区药房和医院药房均可提供的药物的患者受到的影响明显更大。另一方面,年龄与限制就诊无关:封锁至少影响了十分之一的定期门诊患者到医院药房就诊。将医院药品送到社区药房以及家庭医疗服务提供者的帮助限制了治疗的中断。
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来源期刊
Sante Publique
Sante Publique PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
0.40
自引率
33.30%
发文量
252
审稿时长
>12 weeks
期刊介绍: La revue Santé Publique s’adresse à l’ensemble des acteurs de santé publique qu’ils soient décideurs, professionnels de santé, acteurs de terrain, chercheurs, enseignants ou formateurs, etc. Elle publie des travaux de recherche, des évaluations, des analyses d’action, des réflexions sur des interventions de santé, des opinions, relevant des champs de la santé publique et de l’analyse des services de soins, des sciences sociales et de l’action sociale. Santé publique est une revue à comité de lecture, multidisciplinaire et généraliste, qui publie sur l’ensemble des thèmes de la santé publique parmi lesquels : accès et recours aux soins, déterminants et inégalités sociales de santé, prévention, éducation pour la santé, promotion de la santé, organisation des soins, environnement, formation des professionnels de santé, nutrition, politiques de santé, pratiques professionnelles, qualité des soins, gestion des risques sanitaires, représentation et santé perçue, santé scolaire, santé et travail, systèmes de santé, systèmes d’information, veille sanitaire, déterminants de la consommation de soins, organisation et économie des différents secteurs de production de soins (hôpital, médicament, etc.), évaluation médico-économique d’activités de soins ou de prévention et de programmes de santé, planification des ressources, politiques de régulation et de financement, etc
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