ABSTRACT
As part of the French public hospital accounting restatement, the new work's unit (UO) for pharmacy is more exhaustive and closer to the Societe Francaise de Pharmacie Clinique frame of reference than the oldest one [5, 6]. Redefinition is expected to result in a better understanding of pharmacy organisations. The objective of this work was to examine the interest of the UO in reporting on organisational changes in our pharmacy Groupe Hospitalier Paul Guiraud (GHPG) in favour of quantitative and qualitative development of clinical pharmacy activities. Material and method. This was an observational retrospective study on database. Data was recorded from 2017 [3] and 2021 [4] annual activity reports of pharmacy GHPG, two internal studies on working time, full time hospitalization data during the study period [2] and weighted time calculations by ANAP among 9 psychiatric hospital pharmacies. Data analysis was done using SPSS software (release 28.0.1). Results and discussion. The comparative study based on pharmaceutical dispensing weighted time (reference activity) and medication reconciliation weighted time (one activity of clinical pharmacy) between pharmacy GHPG and the 9 psychiatric hospital pharmacies, shows that both are in the same range. Although our organizations, activities, resources, sizes and budgets are different, weighted time of two main activities are close and reveals some homogeneity between psychiatric hospital pharmacies corpus. During the study period, pharmaceutical dispensing increased by 10% when expressed in number of acts, decreased by 3% in weighted time and their share within the UO reduced by 4.8% from 42% to 40%. In this respect, the UO reports two opposite trends: the increase of health products in the formulary and extension of customers related to the COVID-19 pandemic and the decrease in beds related to the crisis of public psychiatry. Clinical pharmacy activities increased by 2% when expressed in number of acts, increased by 26% in weighted activities and their share within the UO increased by 26% from 5.8% to 7.3%. In that respect UO evolution reflects organizational changes in favour of clinical pharmacy activities deployment. Perspectives. New UO illustrates the reorganization implemented over the last 5 years. But can it guide pharmacist manager and local decision-maker in decree ndegree 2019-489 05/21/2019 implementation related to hospital pharmacy? And will it shed light on the path to be taken within the framework of pharmaceutical cooperation associated with a pooling of technical and administrative functions, robotic dispensing, and deployment of clinical pharmacy activities in partner facilities that are not yet covered...? Copyright © 2022 John Libbey Eurotext.