To unload medical offices, Breton pharmacies are authorized to push “further” the usual pharmaceutical advice.
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This is not a consultation but it comes close to it. Since the spring, Didier Roche, pharmacist in Rieux (Morbihan), 2,600 inhabitants, offers his customers to push “further” the usual pharmaceutical advice: a questionnaire of fifteen minutes allows him to operate a first “sort “In the needs of people who push the door of his pharmacy. And volunteer customers to leave with a “better idea” of what they should do, without necessarily having to push the door of a doctor. And “that counts”, blows the pharmacist, in a commune where there is only one left.
“I do not pretend to replace the general practitioner, he continues. I only intervene in well-framed situations, to make a first regulation.” A word that meets a certain echo, among health professionals, at the ‘Hour where the system, in town as in the hospital, cracks from all sides.
“Liberate medical time”
Burn, rhinitis, tick sting, single wound, lumbar pain, conjunctivitis …: the list of thirteen “small evils” in front of which the pharmacist can be positioned has been established, with the help of doctors, by the association Pharma quality system, carrier of experimentation, and validated by the Regional Health Agency (ARS) in Brittany, which supports it.
Baptized “Osys” (orientation system of care), inspired by a Swiss system, it is part of article 51 of the 2018 Social Security financing law (which allows you to experiment with new health organizations). “His protocol is very framed,” explains Martine Costedoat, director of the association: if the situation described by the patient is one of the thirteen awards listed, the pharmacist, trained in the protocol, offers an interview to collect clinical details.
Guided by a “decision-making tree”, at each question-answer, he directs the person around three possible ways: the pharmaceutical council (the majority of cases), the general practitioner (sometimes), emergencies (rarely). “We help to release medical time,” says M me costedoat.
In one year, fifty Breton pharmacies embarked on experience. Two -thirds are in territories where medical demography is fragile. But not all: there are Pontivy (Morbihan) in Lamballe (Côtes-d’Armor) and in Brest (Finistère). “It is not a miracle solution in the face of medical desertification, but a way of enhancing collaboration between pharmacists and doctors, by testing a new type of entry into the care path,” defends Stéphane Mulliez, Managing Director of the ‘Ars Bretagne. A “local solution” which he intends to pour into the toolbox of the “Health” component of the National Refoundation Council.
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