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Gipamed Study: Validation of a Notification Grid for Pharmaceutical Self-Medication Interventions

Abstract : Self-medication can present risks that can result in pharmacists carrying out pharmaceutical interventions (PI). Aim: (i) create a PI notification grid adapted to self-medication (ii) validate it and (iii) analyze the reasons for PIs generated by spontaneous requests from patients in community pharmacies. Method: the study was conducted in 140 community pharmacies in the Auvergne Rhône Alpes region for 3 non-consecutive weeks in 2017 and 2018. Each PI has been notified using a standardized and specifically developed grid. The validity of the internal and external structure of the grid was assessed. Results: 1519 self-medicated PIs were reported. The notification grid was validated with a near perfect match (kappa coefficient 0.94). Overall, the community pharmacists found it to be comprehensive, useful, clear and easy to use. Four ATC classes accounted for nearly 80% of the PIs (respiratory system, nervous system, muscle and skeleton, digestive tract and metabolism). Almost 1/3 of the PIs were generated by requests for prescription-only medicines, followed by optional prescription medicines not indicated for symptomatology and those contraindicated with the pathophysiological status. In most instances, the community pharmacist proposed a therapeutic alternative and/or referred for medical consultation; the proposed solution was accepted in more than 90% of cases. Conclusion: The GIPAMED study facilitated the creation and validation of a specific notification grid for self-medication PIs. It also raises the question of the level of risk avoided through the intervention of the community pharmacist Abstract Introduction
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https://hal.uca.fr/hal-02892625
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Submitted on : Tuesday, July 7, 2020 - 4:27:14 PM
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Chantal Savanovitch, Céline Prunet-Spano, Olivier Catala, Sabrina Bedhomme, Elodie Lafarge, et al.. Gipamed Study: Validation of a Notification Grid for Pharmaceutical Self-Medication Interventions. International Journal of Pharma Sciences and Scientific Research, 2020, 6, pp.1 - 07. ⟨hal-02892625⟩

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