The persons living with HIV and their pharmacists: two face-to-face surveys 2016-2017

摘要

Objectives: To know the habits and expectations of people living with HIV (PLWH) face to face their pharmacist. Methods: two national surveys: 1) in centers recruited by Regional Coordination against HIV (CORE-VIH), Regional union of healthcare professionals (URPS) and unions of pharmacists, from 12 to 18 October 2016; 2) with pharmacists in February 2017. Results: A total of 1,137 PLWH (68% men, age 50.2 ±11.5 years old, CD4 671 ± 354, 89% with undetectable HIV viral load (VL) and 64.2% reporting other disorders) and 246 pharmacies were recruited. The dispensing of antiretrovirals (ARV) by the city pharmacies for 810 (72%) PLWH, most often confidential, raises no particular problem for pharmacists. While the pharmaceutical file is known by 59% of PLWH - 39% of pharmacists declare it to be systematically proposed- it was proposed to 120/694 (17.3%) PLWH and 96 (80%) accepted it. If today, 78 (7%) PLWH feels taken care well because they are offered a-pharmaceutical interview, 343/1,078 (32%) would wish it, mostly those with a shorter duration of ARV (OR ARV duration 0.97 [0.95; 0.99], a VL that is less often undetectable (OR undetectable VL vs. no 0.55 [0.3; 0.98] and more often anxious (OR anxious versus not anxious 2.38 [1.47; 3.83], characteristics well identified by the pharmacists themselves. They would need to set up these interviews of a training focused on accompaniment and global comprehensive care. Conclusion: The link PWIH-pharmacist is a link at the heart of the care pathway and would benefit from being strengthened and formalized.