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Journal de Pharmacie Clinique

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Roles and perceptions of hospital pharmacists in the dispensing of ambulatory oral oncology therapies in Europe and North America: an exploratory study Volume 41, issue 4, Décembre 2022

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Authors
Unité de recherche en pratique pharmaceutique, Centre hospitalier universitaire Sainte-Justine, 3175 Chemin de la Côte-Sainte-Catherine, H3T 1C5 Montréal, Canada
Correspondance : JF Bussières

Objective

To compare the role and perception of hospital pharmacists in the dispensing of oral cancer drugs (MAVO) in Europe and North America.

Method

Descriptive, exploratory and cross-sectional study. Identification of a hospital pharmacist by targeted legal entity. 44 variables were identified and grouped into three themes: demographics (n = 3), perceptions of current practice (n = 31), perceptions of the assignment of nine pharmaceutical tasks (n = 10) and an optimal scenario of care. Questionnaire in English and French on SurveyMonkey®, Palo Alto (CA, USA), tested by five hospital pharmacists and sent by email.

Results

Fourteen respondents (14/21, 67 %) provided usable answers (e.g., 7 in Europe: Germany, Austria, Belgium, Spain, France, Netherlands and Switzerland, and 7 in North America: Quebec, Alberta, New Brunswick, Ontario, Manitoba, Prince Edward Island and the United States). Validation of MAVO prescription compliance involves the hospital pharmacist in 12 cases out of 14. A majority of respondents (11/14) do not have enough resources to ensure quality supervision of all patients treated by MAVO.

Conclusion

Regardless of the legal entity, a majority of respondents consider that the workload is on the rise and that the resources are insufficient to ensure quality pharmaceutical services and care (i.e., safety and proper use). This exploratory study shows the interest of reflecting on the current model of pharmaceutical practice (hospital against pharmacy) in order to ensure adequate and efficient treatment of cancer patients.