JLE

Journal de Pharmacie Clinique

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Pharmaceutical’s repercussions of Saint-Louis precarity consultation Volume 23, issue 4, octobre-novembre-décembre 2004

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Authors
Service pharmacie, Hôpital Saint-Louis, Paris

In a context of announced reforms of the Universal Health Insurance « CMU », we have evaluated pharmaceutical’s repercussions of Saint-Louis precarity consultation since its opening in 1993. Prescriptions analysis showed that the annual number of prescriptions has reached a plateau in 1997 (2000 per year), with an average of 2 drugs per prescription sheet. However, the number of patients is fluctuating, with a progressive reduction since 2001, this progressive decrease being a delayed repercussion of CMU’s creation. Reduction of HIV cohort patients had a direct repercussion on pharmaceutical costs, with a mean cost around 10 € per dispensation. Poor patients’s care should take into account every potentially harmful specificity. This lead us to provide physicians with a standardised prescription sheet with galenic forms and drug presentations selected for being adequate to this population of patients. Furthermore, a notebook for tuberculosis treatment follow-up has also been elaborated.