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Isabelle Raymond, Arnaud Alessandrin, Agnès Certain

    Sante Publique (Vandoeuvre-Les-Nancy, France)
    |July 25, 2020
    PubMed
    Summary

    Pharmacies show varied practices when dispensing more than one month of antiretroviral (ARV) medication for international travel. This heterogeneity stems from relational and regulatory factors influencing dispensing decisions despite strict guidelines.

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    Area of Science:

    • Pharmacy practice and regulation
    • Public health and infectious diseases

    Background:

    • Antiretroviral (ARV) medication adherence is crucial for managing HIV/AIDS.
    • Patients traveling abroad may require ARV supplies exceeding standard dispensing limits.
    • Existing regulations govern the dispensing of ARV medications for extended periods.

    Purpose of the Study:

    • To investigate the practices and underlying logics of dispensing ARV medications for patients traveling abroad.
    • To understand how regulatory frameworks are applied in real-world pharmacy settings for extended ARV dispensing.

    Main Methods:

    • Qualitative research methodology employed.
    • Data collected from 22 pharmacies across the territory.
    • Analysis focused on dispensing practices for requests exceeding one month for international travel.

    Main Results:

    • Significant heterogeneity in the application of ARV dispensing regulations was observed.
    • Diverse dispensing practices were identified, deviating from strict regulatory uniformity.
    • Relational factors (embarrassment, patient relationships) and regulatory concerns influenced pharmacist decisions.

    Conclusions:

    • Dispensing practices for extended ARV supplies are shaped by complex relational and regulatory dynamics.
    • Pharmacists' professional commitment and personal relationships with patients contribute to practice variations.
    • Understanding these logics is key to addressing the non-uniformity in ARV dispensing for international travel.

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