{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T14:53:23Z","timestamp":1791298403491,"version":"4.1.0"},"reference-count":40,"publisher":"CAIRN.INFO","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,5]]},"abstract":"<jats:p>Introduction\u00a0: Face \u00e0 la pression croissante sur le syst\u00e8me de sant\u00e9, le r\u00f4le du pharmacien d\u2019officine en France a connu une reconfiguration rapide. Cette \u00e9tude qualitative a explor\u00e9 les perceptions des pharmaciens sur les mutations en cours, entre adh\u00e9sion, contraintes et strat\u00e9gies d\u2019adaptation. M\u00e9thode\u00a0: Trente entretiens semi-directifs ont \u00e9t\u00e9 conduits entre septembre et d\u00e9cembre 2024 aupr\u00e8s de pharmaciens titulaires en Auvergne-Rh\u00f4ne-Alpes. L\u2019\u00e9chantillonnage raisonn\u00e9 a permis de diversifier les profils selon le territoire, la structure officinale et l\u2019anciennet\u00e9. L\u2019analyse th\u00e9matique a \u00e9t\u00e9 poursuivie jusqu\u2019\u00e0 saturation des donn\u00e9es. R\u00e9sultats\u00a0: Les participants ont d\u00e9crit un \u00e9largissement des missions (vaccination, bilans, d\u00e9pistage), jug\u00e9 valorisant mais frein\u00e9 par la surcharge administrative, le manque de reconnaissance et les tensions interprofessionnelles. Le d\u00e9ficit d\u2019interop\u00e9rabilit\u00e9 num\u00e9rique, la concentration \u00e9conomique et la stagnation des marges fragilisaient la viabilit\u00e9 des officines, surtout ind\u00e9pendantes. Les t\u00e9moignages ont r\u00e9v\u00e9l\u00e9 un sentiment de perte de sens (\u00ab\u00a0 je passe plus de temps \u00e0 remplir des formulaires qu\u2019\u00e0 parler aux patient s\u00a0\u00bb) et une forte incertitude sur l\u2019avenir (\u00ab\u00a0 Chaque ann\u00e9e, on nous rajoute des responsabilit\u00e9s sans savoir si elles seront p\u00e9rennes ou r\u00e9mun\u00e9r\u00e9es correctement \u00a0\u00bb). Malgr\u00e9 cela, des dynamiques d\u2019adaptation ont \u00e9merg\u00e9, fond\u00e9es sur la diversification des services, l\u2019innovation organisationnelle et l\u2019ancrage territorial. Discussion\u00a0: Cette \u00e9tude a mis en \u00e9vidence une profession \u00e0 un point de bascule\u00a0\u2013\u00a0engag\u00e9e dans les soins primaires mais encore peu soutenue institutionnellement. Une transition durable du mod\u00e8le officinal n\u00e9cessitera un accompagnement politique, \u00e9conomique et structurel \u00e0 la hauteur des enjeux.<\/jats:p>","DOI":"10.3917\/spub.263.0187","type":"journal-article","created":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T14:32:19Z","timestamp":1791297139000},"page":"187-199","source":"Crossref","is-referenced-by-count":0,"title":["\u00c9volution des missions et strat\u00e9gies d\u2019adaptation des pharmaciens d\u2019officine\u00a0: \u00e9tude qualitative en Auvergne-Rh\u00f4ne-Alpes"],"prefix":"10.3917","volume":"vol. 38","author":[{"given":"Romain","family":"Lan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audrey","family":"Ringot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florence","family":"Carrouel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claude","family":"Dussart","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2273","reference":[{"key":"rb1","unstructured":"1. 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