Warning: Cannot modify header information - headers already sent by (output started at /var/www/vhosts/3-min.info/httpdocs/index.php:1) in /var/www/vhosts/3-min.info/httpdocs/wp_201802/wp-includes/rest-api/class-wp-rest-server.php on line 1902 Warning: Cannot modify header information - headers already sent by (output started at /var/www/vhosts/3-min.info/httpdocs/index.php:1) in /var/www/vhosts/3-min.info/httpdocs/wp_201802/wp-includes/rest-api/class-wp-rest-server.php on line 1902 Warning: Cannot modify header information - headers already sent by (output started at /var/www/vhosts/3-min.info/httpdocs/index.php:1) in /var/www/vhosts/3-min.info/httpdocs/wp_201802/wp-includes/rest-api/class-wp-rest-server.php on line 1902 Warning: Cannot modify header information - headers already sent by (output started at /var/www/vhosts/3-min.info/httpdocs/index.php:1) in /var/www/vhosts/3-min.info/httpdocs/wp_201802/wp-includes/rest-api/class-wp-rest-server.php on line 1902 Warning: Cannot modify header information - headers already sent by (output started at /var/www/vhosts/3-min.info/httpdocs/index.php:1) in /var/www/vhosts/3-min.info/httpdocs/wp_201802/wp-includes/rest-api/class-wp-rest-server.php on line 1902 Warning: Cannot modify header information - headers already sent by (output started at /var/www/vhosts/3-min.info/httpdocs/index.php:1) in /var/www/vhosts/3-min.info/httpdocs/wp_201802/wp-includes/rest-api/class-wp-rest-server.php on line 1902 Warning: Cannot modify header information - headers already sent by (output started at /var/www/vhosts/3-min.info/httpdocs/index.php:1) in /var/www/vhosts/3-min.info/httpdocs/wp_201802/wp-includes/rest-api/class-wp-rest-server.php on line 1902 Warning: Cannot modify header information - headers already sent by (output started at /var/www/vhosts/3-min.info/httpdocs/index.php:1) in /var/www/vhosts/3-min.info/httpdocs/wp_201802/wp-includes/rest-api/class-wp-rest-server.php on line 1902 {"id":11704,"date":"2019-04-03T11:19:52","date_gmt":"2019-04-03T09:19:52","guid":{"rendered":"https:\/\/www.3-min.info\/?p=11704"},"modified":"2019-04-03T11:19:52","modified_gmt":"2019-04-03T09:19:52","slug":"sortir-de-son-pre-carre-pour-obtenir-une-vue-generale-sur-les-medicaments","status":"publish","type":"post","link":"https:\/\/3-min.info\/fr\/2019\/04\/03\/sortir-de-son-pre-carre-pour-obtenir-une-vue-generale-sur-les-medicaments\/","title":{"rendered":"Sortir de son pr\u00e9 carr\u00e9 pour obtenir une vue g\u00e9n\u00e9rale sur les m\u00e9dicaments?"},"content":{"rendered":"

La NZZ a publi\u00e9 \u00e0 la mi-mars un article sur la polypharmacie (lien vers l\u2019article<\/a>). Marjan van den Akker, professeur de polym\u00e9dication \u00e0 l’Universit\u00e9 Goethe de Francfort, explique que les patients multimorbides et leur m\u00e9dication lancent d’\u00e9normes d\u00e9fis aux prestataires de soins. La N\u00e9erlandaise privil\u00e9gie l\u2019approche selon laquelle le m\u00e9decin de famille, en raison de ses contacts \u00e9troits avec le patient, examine une fois par an la liste compl\u00e8te des m\u00e9dicaments et la discute en collaboration et en coop\u00e9ration avec un pharmacien. <\/s><\/span><\/p>\n

Am\u00e9liorer la s\u00e9curit\u00e9 des patients tout en coordonnant une administration plus efficace et plus durable des m\u00e9dicaments est une approche compl\u00e8tement diff\u00e9rente de celle qui consiste \u00e0 influencer marginalement les co\u00fbts de la sant\u00e9 en r\u00e9duisant le prix des m\u00e9dicaments. Cependant, r\u00e9duire les co\u00fbts de la sant\u00e9 en \u00e9liminant les m\u00e9dicaments pris \u00e0 double, les interactions m\u00e9dicamenteuses et les hospitalisations par le biais de la polypharmacie est un concept plus ardu que de calculer des marges et de les d\u00e9noncer ensuite. <\/s><\/span><\/p>\n

Il est temps d’investir dans des mod\u00e8les interprofessionnels et d\u2019\u00e9tablir les structures que cela n\u00e9cessite. Les m\u00e9decins g\u00e9n\u00e9ralistes, les sp\u00e9cialistes, les m\u00e9decins propharmaciens et les pharmaciens doivent abandonner leurs actions isol\u00e9es et faire confiance \u00e0 leurs coll\u00e8gues d’autres disciplines scientifiques, de mani\u00e8re \u00e0 ce que leur travail soit mutuellement \u00e9valu\u00e9 et compris, dans l’int\u00e9r\u00eat des patients. Les nouvelles structures urgemment n\u00e9cessaires impliquent de vaincre le mode de pens\u00e9e encore dominant, qui est celui du \u00ab\u00a0pr\u00e9 carr\u00e9\u00a0\u00bb.<\/span><\/p>\n

Avec l’introduction du dossier \u00e9lectronique du patient (DEP), il est enfin possible pour tous les acteurs du traitement d’avoir acc\u00e8s \u00e0 une information compl\u00e8te, en tout temps et en tous lieux. Le simple acc\u00e8s \u00e0 l’information ne contribue pas automatiquement \u00e0 r\u00e9duire les co\u00fbts. Cela d\u00e9pend plut\u00f4t de qui fait quoi avec cette information. Avec l’introduction du DEP, il est grand temps de d\u00e9finir l’\u00e9change d’informations et de connaissances entre tous les professionnels impliqu\u00e9s dans le processus de traitement. C’est le bon moment pour redessiner les processus interprofessionnels, clarifier les responsabilit\u00e9s et amener tous les prestataires de soins au m\u00eame niveau technologique. Cette voie n\u00e9cessite manifestement des ressources humaines et financi\u00e8res, c’est-\u00e0-dire des investissements, avant que les \u00e9conomies r\u00e9alis\u00e9es gr\u00e2ce aux synergies ne soient possibles. Il n’est pas opportun d’emp\u00eacher les pharmaciens, par des baisses de prix, de s’engager dans un avenir interdisciplinaire. Les investissements r\u00e9alis\u00e9s aujourd’hui avec clairvoyance dans la collaboration interprofessionnelle ne porteront leurs fruits que dans quelques ann\u00e9es. Alors qu\u2019il est \u00e9vident que des baisses de prix visibles \u00e0 court terme sont politiquement plus vendeuses qu’une r\u00e9forme d\u2019avenir.<\/span><\/p>\n

 <\/p>\n

\u00a9 Image by Adobe Stock<\/p>\n","protected":false},"excerpt":{"rendered":"

La NZZ a publi\u00e9 \u00e0 la mi-mars un article sur la polypharmacie (lien vers l\u2019article). Marjan van den Akker, professeur de polym\u00e9dication \u00e0 l’Universit\u00e9 Goethe […]<\/p>\n","protected":false},"author":5,"featured_media":11702,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[61],"tags":[],"class_list":["post-11704","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actuel"],"jetpack_featured_media_url":"https:\/\/www.3-min.info\/wp_201802\/wp-content\/uploads\/2019\/04\/Polypharmazie.jpg","_links":{"self":[{"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/posts\/11704","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/comments?post=11704"}],"version-history":[{"count":1,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/posts\/11704\/revisions"}],"predecessor-version":[{"id":11705,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/posts\/11704\/revisions\/11705"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/media\/11702"}],"wp:attachment":[{"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/media?parent=11704"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/categories?post=11704"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/tags?post=11704"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}