La pharmacie clinique hospitalière française : une crise identitaire ?

Tanty, Arnaud; Dantigny, Raphaëlle Habert; Bardet, Jean-Didier; Chanoine, Sébastien; Bedouch, Pierrick; Allenet, Benoît

doi:10.1016/j.pharma.2020.11.010

Cited by 7 publications

(4 citation statements)

References 6 publications

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“…In several countries, and in particular non-English-speaking countries, such as France, the pharmacist is often more of a quality manager than a true clinical pharmacist. To overcome this "identity crisis" it is undoubtedly necessary to question the visions that pharmacists have of their own aptitudes and wishes in relation to what clinical practice is [3,82,83]. This perspective also places them in front of a potential socio-professional transformation leading them to transition to a conception of care closer to that of physicians [82,83].…”

Section: Discussionmentioning

confidence: 99%

“…Clinical Pharmacy is generally considered to have originated in the USA in the 1960s, while the supervising associations such as the American College of Clinical Pharmacy (ACCP) and the European Society of Clinical Pharmacy (ESCP) were created in 1979 [1][2][3]. English speaking countries, and the USA in particular, continue to serve as a benchmark in advancing clinical pharmacy [4].…”

Section: Introductionmentioning

confidence: 99%

“…Nevertheless, including in English-speaking countries such as the USA, the interventions of pharmacists were revealed to be formalized under the legal framework within the "collaborative practice agreement" (CPA) [3,5,7]. The CPA defines the relationship between clinical pharmacists and physicians through the initiative "Collaborative Drug Therapy Management" (CDTM) and then authorizes the realization of the "comprehensive medication management" (CMM, which determines whether medications are appropriate, effective and safe) (the previous form, "medication therapy management" (MTM), did not require a CPA) [7].…”

Section: Introductionmentioning

confidence: 99%

“…While recent publications continue to demonstrate the interest and scalability of clinical pharmacy in psychiatry [4,[8][9][10], its deployment continues to be held back for various reasons [3,4,11,12].…”

Section: Introductionmentioning

confidence: 99%

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Clinical Pharmacy in Psychiatry: Towards Promoting Clinical Expertise in Psychopharmacology

et al. 2021

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Although clinical pharmacy is a discipline that emerged in the 1960s, the question of precisely how pharmacists can play a role in therapeutic optimization remains unanswered. In the field of mental health, psychiatric pharmacists are increasingly involved in medication reconciliation and therapeutic patient education (or psychoeducation) to improve medication management and enhance medication adherence, respectively. However, psychiatric pharmacists must now assume a growing role in team-based models of care and engage in shared expertise in psychopharmacology in order to truly invest in therapeutic optimization of psychotropics. The increased skills in psychopharmacology and expertise in psychotherapeutic drug monitoring can contribute to future strengthening of the partnership between psychiatrists and psychiatric pharmacists. We propose a narrative review of the literature in order to show the relevance of a clinical pharmacist specializing in psychiatry. With this in mind, herein we will address: (i) briefly, the areas considered the basis of the deployment of clinical pharmacy in mental health, with medication reconciliation, therapeutic education of the patient, as well as the growing involvement of clinical pharmacists in the multidisciplinary reflection on pharmacotherapeutic decisions; (ii) in more depth, we present data concerning the use of therapeutic drug monitoring and shared expertise in psychopharmacology between psychiatric pharmacists and psychiatrists. These last two points are currently in full development in France through the deployment of Resource and Expertise Centers in PsychoPharmacology (CREPP in French).

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