Le portage à domicile : de la livraison à la dispensation à domicile – Recommandations de bonnes pratiques et perspectives pour le pharmacien d’officine

Dispensation is intended for patients who are unable to move, mainly because of their health condition, age or special geographical location. Unlike a simple home delivery service, dispensation at home involves direct contact between the pharmacy team and the patient, allowing both the collection of information and advice (counselling) for the proper use of the health products. Community pharmacists have responded to the need for continuity of care during the periods of containment by providing home delivery services. The objective of this survey is to describe these home delivery practices – simple delivery and dispensation at home – provided during the period of the first containment of Covid-19. The survey was conducted between May 20th and June 15th, 2020 among French community pharmacists, owners or employees, by convenience and reasoned sampling. A total of 803 respondents participated in the survey, 90.0% being owners. A total of 74.1% of these participants (n = 595) declared having offered a home delivery service during the period of the first containment. This service was initiated during the pandemic period for 50.6% of them and mainly involved the pharmacy team itself: only 2.3% of the respondents said they relied exclusively on a service provider. Among these participants, 48.9% declared having encountered difficulties in collecting patient information, delivering and providing the information and advice for the proper use of health products. The practices of home delivery carried out by the respondents is more similar to the principle of dispensation at home than to a simple home delivery. Accessing the patient's home enriches the pharmaceutical analysis and offers an opportunity for new pharmacy services. This is why, in order to respond to the difficulties encountered and support the development of this activity, the SFPC Special Interest Group for Community Pharmacy analysed the process of dispensation at home and published guidelines. La dispensation à domicile s’adresse à tout patient étant dans l’impossibilité de se déplacer, notamment en raison de son état de santé, de son âge ou de situations géographiques particulières. Contrairement à une simple livraison à domicile par un tiers, la dispensation à domicile suppose un contact direct entre l’équipe officinale et le patient tant sur le recueil d’information que sur la transmission des conseils de bon usage. Les pharmaciens d’officine ont répondu au besoin de continuité des soins en péri