THESE UNIVERSITE TOULOUSE III PAUL SABATIER FACULTE DES SCIENCES PHARMACEUTIQUES

UNIVERSITE TOULOUSE III PAUL SABATIER
FACULTE DES SCIENCES PHARMACEUTIQUES
ANNEE : 2013 THESES 2013/TOU3/2085
THESE
POUR LE DIPLOME D'ETAT DE DOCTEUR EN PHARMACIE
Présentée et soutenue publiquement le 21 Octobre 2013
par
Gilles VITALE
Né le 30 Septembre 1986 à Aix-en-Provence
AMELIORATION DE LA PERTINENCE DES
PRESCRIPTIONS DE PRODUITS DE SANTE :
MISE EN PLACE D’INDICATEURS DE SUIVI DES
CONSOMMATIONS DANS UN ETABLISSEMENT DE SANTE
Directeur de thèse : Madame le Dr Blandine JUILLARD-CONDAT
JURY
Madame le Pr Florence TABOULET Président
Monsieur le Dr Philippe CESTAC Assesseur
Madame le Dr Catherine DUMARTIN Assesseur
Madame le Dr Marie-Claude DURAND Assesseur
Madame le Dr Blandine JUILLARD-CONDAT Assesseur

TABLE DES MATIERES
 !"#
 !"!$%
 !"!&'
"((&&")&*+
,+"(&!&"-*+".
.!"&&+/&0""".
1"23-4""&1"2&"1&!+&"-!0""&
1&!+&"(5(*+"6
. !"!&#
""""&1&"#
,&&"!&7
"+7
-&(&.
.$"+"!&..
.-&(&&"8+ !.
.-&""+".
..-&)!4(.
./(!&-&&+.6
.--1&!+&1.6
!&!&&"!"!*+"!&1"&+/+""&.#

!*+"""8!&1!!.#
 "(&!""&)!"9$:.7
")+"&0"""9;:
.&&(!&"&*+"1+!!"9:.
(+&"+)< ""&+)!*+9:
!*+"""&+/-=&+/6
 &"&)!""(""&#
"&"&(!&"&*+"-"&!4"7
.&)+"&0"(&(""+""&">
+1"""-"&!4"(&("/+"1!!
$&&0(!&*+&!!&"-&0(&(+".
.!*+"""8!+"-&(&+*+
.&?$
.&(!&1"(&!
..)+ " /!&" &+ ) +"&0 " "&!"
-&(&+*+"#
$      $  
;$6>
-/"+"6>
 +"" !"6.
.+!" (&*+"6
&&!3"-&(&+*+67
$"+!&#
6+1""((&"+""&#7
6+1""((&"&&+/7>
6+1""((&"0&+/7.

6.+1""((&"!&+/7
.$@$$
'7%
./<+/7%
./(*+&&!%>
./(*++'+!+"%
..)< "+<%
.("+<%
.$"!&+"+1""((&"%6
."+!"""&"%6
. -++ ("%#
.!&"" &&!!%#
.+!"&!&>>
.!0!/&"">
..&+(&"&+&("">
.-/"&+""((&>
."&)!&+/)"&=!>.
."+1""">.
.+&"""&&8!1!)+0&>
..&!(&4"""">6
.&!"1!+""">7
.+1" "/&+""+!=!>
.6+1"+1&+/+" "
."&)!&+/&!"
..;!&""((&+!"(""&!6
..&)!&+/&!!"& &(!!&=!6

..&!(&4""""%
...1!+""((&">
3.2.2.3.4Indicateurs spécifiques
.. +"""&&!3"".
3.3.1Choix du support
..+"
6
;;,'7
A.7