From October 2001, the Australian healthcare system has made provision for, in predefined circumstances, a domiciliary medication review service. This pharmaceutical care service provides a medication review for outpatients encountering (or who may encounter) difficulties with their treatments, and who are referred by their physician. The pharmacist is chosen by the outpatient. Doctor and pharmacist gather the relevant elements of his/her medical file and work together, following procedures. After the consultation, the pharmacist passes his evaluation of the situation and his proposals to the doctor, who writes an action plan (shared with the pharmacist) and puts it into practice. This operational network is managed by the healthcare system. The 35000 consultations carried out confirm the interest in this service and make it possible to simplify the treatments. The cost of the operation is more than covered by the savings generated. This discussion proposes to specifically study the transposition of this service to France.
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