Lucas Aghnatios, Guillaume Flandin Rofes, Sonia Caroline Sorli, Philippe Cestac, Arnaud Pages, Frédéric Eyvrard
{"title":"Covid-19: The impact of lockdown on the dispensing of hospital drugs to outpatients","authors":"Lucas Aghnatios, Guillaume Flandin Rofes, Sonia Caroline Sorli, Philippe Cestac, Arnaud Pages, Frédéric Eyvrard","doi":"10.3917/spub.236.0039","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>In response to the COVID-19 pandemic, France was under lockdown for the first time from March 17 to May 10, 2020.</p><p><strong>Purpose of the research: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":null,"pages":null},"PeriodicalIF":0.3000,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sante Publique","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3917/spub.236.0039","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
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.
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