title: [Medical homes and poles including pharmacists: An inventory].
abstract: BACKGROUND
  The current restructuring of primary healthcare aims toward the creation of coordinated practices, which involves new roles for pharmacists. The objectives of this study were to identify all the French multidisciplinary medical homes and poles (MMHs and MMPs) with pharmacists currently active, and to describe how they are organized and operate.
  
  
  METHODS
  This study focused on metropolitan MMHs and MMPs, active during the second semester of 2013, which include one or several pharmacists. These centers were identified through information provided by French regional health authorities (Agences régionales de santé, ARS) and the French medical homes medical poles federation (Fédération française des maisons et pôles de santé). Data were collected via an electronic questionnaire.
  
  
  RESULTS
  Pharmacists were active in 60 centers in total, namely 35 MMHs and 25 MMPs. These were mostly set up as sociétés interprofessionnelles de soins ambulatoires (SISA, a type of company), with the help of government funding, typically from the ARS, in buildings owned by local government agencies. Pharmacists were systematically invited to attend interprofessional meetings held in the MMHs and MMPs, and multimodal treatment protocols were often in place. Pharmacists had no access to shared clerical services in MMHs, and rarely in MMPs, and their access to medical records was inconsistent in the two types of structures.
  
  
  CONCLUSIONS
  Pharmacists are currently active in nearly one in four MMHs and MMPs but are still only partially integrated therein.
authors.affiliation: Collège universitaire de médecine générale, université Claude-Bernard Lyon 1, 69373 Lyon cedex 08, France.
authors.forename: A L
authors.initials: AL
authors.lastname: Vernus
authors.affiliation: Institut des sciences pharmaceutiques et biologiques (ISPB), faculté de pharmacie, université de Lyon 1, 69373 Lyon cedex 08, France.
authors.forename: O
authors.initials: O
authors.lastname: Catala
authors.affiliation: Collège universitaire de médecine générale, université Claude-Bernard Lyon 1, 69373 Lyon cedex 08, France; Équipe HESPER, université de Lyon 1, 69373 Lyon cedex 08, France.
authors.forename: I
authors.initials: I
authors.lastname: Supper
authors.affiliation: Pharmacie des bords de l'Ain, maison de santé de Pont-d'Ain, Pont-d'Ain, France.
authors.forename: N
authors.initials: N
authors.lastname: Flaujac
authors.affiliation: Collège universitaire de médecine générale, université Claude-Bernard Lyon 1, 69373 Lyon cedex 08, France; Équipe HESPER, université de Lyon 1, 69373 Lyon cedex 08, France. Electronic address: laurent.letrilliart@univ-lyon1.fr.
authors.forename: L
authors.initials: L
authors.lastname: Letrilliart
mesh_terms: D005602:France; D006077:Government Agencies; D006801:Humans; D018802:Patient-Centered Care / Q000458:organization & administration*; D010595:Pharmacists; D011320:Primary Health Care / Q000458:organization & administration*
keywords: Collaboration; Coopération; Maisons de santé; Medical homes; Medical poles; Officine; Pôles de santé; Retail pharmacy