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Master Thesis

La régularisation pour raison médicale, conduite pratique à l'usage du médecin généraliste‎ : peut-on optimiser les démarches du médecin généraliste, pour les demandes d'accès aux soins et de régularisation "étranger malade" au bénéfice de son patient "sans papiers" ?

Abstract : Legalizing immigrants for medical reasons and obtaining acces to health care may be obstacle-ridden for both the patient and the physicians involved. The aim of this work was to optimize the actions of the physician in issuing requests for access to care and a prompt le- galization of his or her patients. The present work consisted of a field survey, a collection of statistical data concerning the legalization procedure both in Isère and all of France, and a review of the medico-legal literature. The interviews targeted the needs of physicians and revealed malfunctions in accordance with existing literature. In Isère, on average during 1998-2009, patients seeking legalization are predominantly male (64%) African (84% total, 52% Algerians) suffering from psychiatric disorders (36%). The fraction of positive responses was 65%. The number of applications decreased by 50% in 2008. In France, patients are mostly African (75%) and HIV positive (18%). Barriers for acces to health care and legalization are mainly administrative and illegal, and result in an increased duration of the patients precarious situation, worsening their condition. This delay in legalization has negative conse- quences on individual and collective health. We propose tools in the form of three leaflets to inform doctors on the procedures. They have been submitted to the authorities for validation, and physicians have expressed interest in accessing them online. The outlines of letters, medical certificates and reports could be downloadable and adaptable for each patient, optimizing the medical side of the procedure, taking into account practical constraints.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00622794
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Submitted on : Thursday, May 17, 2012 - 5:28:17 PM
Last modification on : Tuesday, May 11, 2021 - 11:36:16 AM
Long-term archiving on: : Tuesday, December 13, 2016 - 6:30:14 PM

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  • HAL Id : dumas-00622794, version 1

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Isabelle Thomas. La régularisation pour raison médicale, conduite pratique à l'usage du médecin généraliste‎ : peut-on optimiser les démarches du médecin généraliste, pour les demandes d'accès aux soins et de régularisation "étranger malade" au bénéfice de son patient "sans papiers" ?. Médecine humaine et pathologie. 2010. ⟨dumas-00622794⟩

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