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[Teletransmission, health care and deontology].

EDI is the technique the most frequently used by Chemists to relay their daily orders to their suppliers. Three out of four Chemists in France are computerised using various forms of computer hardware and software. The Health Care organisations propose that Chemists use the EDI to relay to the CETELIC all the items of information concerning their invoicing. This means handing over administrative information identifying the patient, the doctor ... as well as financial and confidential data such as the CIP code of the prescribed and delivered medicine. The law of the 4th January 1993 was instigated to control the rising expenses of the Health Care organisations and it mandates the Caisse Primaire d'Assurance Maladie (the French social security organisations) to retrieve and analyse the information thus gathered from all of the medical professionals involved. However, the accumulation of all these items of computerised information constitutes in effect a confidential medical file on each patient. This raises the following issues: Who does this confidential data belong to? Who should the Chemists give it to? What is to be done with it? Who will be responsible for its analysis in respect of the confidentiality problem? (Another medical professional bound by oath?) And how can we insure against subsequent abuse of this material?

Delivery of Health Care↗

Building an effective therapeutic alliance: competence, trustworthiness, and caring.

Patient counseling and pharmaceutical care require much more than the provision of information. They require a commitment on the part of the pharmacist to the well-being of the patient. They also require the formation of a therapeutic alliance. Patients are not likely to tell pharmacists about problems they have in managing their drug therapy if they believe they will be judged or scolded for nonadherence. Patients must feel safe enough to present problems or ask questions. In responding to how patients manage their illnesses and interpret the pharmacists' instructions, pharmacists must treat each patient as unique. Pharmacists must develop a flexible system of response. What is comforting to one patient might be frightening to another. By developing a flexible system of response, pharmacists will be able to treat patients more effectively. There are no right or wrong answers, only those that work. A pharmacist's basic understanding and true desire to care for the patient will increase the number of successful responses.

Comprehension↗