New paid mission? new: This article explores the topic in depth.
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New paid mission?:
Each year. For example. Similarly, thousands of French people are bitten by ticks, which exposes them to a risk of infection by Lyme disease. Similarly, In this context, pharmacies are authorized, under strict conditions, to withdraw ticks in pharmacy. However, This type of intervention is in particular within the framework of the orientation experimentation in the care system (OSYS). Similarly, Launched in 2021, it is carried by the Association Pharma Quality System (PHSQ). Moreover, “The goal is to avoid the useless use of the emergency room. Moreover. identify the situations that require consultation with a doctor”explains Martine Costedoat, Director General of PHSQ and director of the Osys project. Furthermore, Four situations are now covered on an experimental basis, including tick stings. For example, Initially deployed in Brittany. Therefore, the experiment has been extended, since January 2024, to three new regions: new paid mission? new Occitanie, Center-Val de Loire and Corsica.
A patient under surveillance – New paid mission? new
Currently, more than 200 pharmacies participate. When a patient presents himself with a tick bite, the pharmacist performs a sorting using decision -making trees. He proceeds to the extraction of the tick. takes a picture of the area concerned. then observes the possible appearance of a migrant erythema, a precursor of Lyme disease. “For the moment, pharmacists are not allowed to issue antibiotics in this context”specifies Martine Costedoat. In the absence of worrying signs, the pharmacist performs post-piqûre follow-up to D + 3 and D + 30. Since the start of the experiment, 9,500 sorting has been carried out, including 29 % linked to the withdrawal of ticks.
The prescription of an antibiotic
Apart from Osys, pharmacies are not allowed to manage this situation. Unless you integrate a local cooperation protocol within a coordinated exercise structure. This is the case of new paid mission? new the Borie pharmacy in Saint Géry-Vers (Lot). new paid mission? where the holder. Olivier Bories, set up such a partnership with the doctors of the multidisciplinary health center (MSP) to which he is attached. “From spring to fall, tick sting is a recurring situation in our area. It seemed relevant to us that I could answer it directly ”he says. In this context. it can not only carry out the extraction of the tick. the disinfection of the skin, but also prescribe an antibiotic in the event of migrant erythema. “I take care of fifteen people per season. Each act requires between 15 and 30 minutes »reports Olivier Bories.
Conditional funding
Established for almost two years, this organization has been validated beforehand by the Regional Health Agency (ARS) Occitanie. “We make sure that all security. quality requirements are respected”underlines Alexia Brahic, project manager for cooperation protocols within ARS Occitanie. This type new paid mission? new of cooperation is subject to conditional financing by ARS, new paid mission? according to the need and usefulness in the territory. “We can benefit from funding up to € 25 per protocol, up to € 6,000 per year for the MSP”details Alexia Brahic. For the time being, this device remains local. Its generalization at the national level would require validation by the High Authority for Health. an extension by ministerial decree.
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