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Master Thesis

Essai de typologie des appels pour demande de soins non programmés à domicile au standard de SOS Médecins Grenoble : étude comparative rétrospective entre les visites effectuées suite aux appels directs au standard SOS Médecins Grenoble et celles relayées par le SAMU centre 15, du 1er janvier 2011 au 31 mars 2012

Abstract : Urban general practitioners can't carry out all need for unscheduled care. In Grenoble area, the union of ambulatory emergency physicians SOS Médecins fulfills it. A partnership convention, signed in 2006 with Isère EMT, helped to increase the proportion of home visits coming from EMT switchboard, which reached out almost 30% of the union activity in 2012. This epidemiological retrospective study aim is highligthing some medical or sociodemographic differences according to the phonecall source. Above the 33942 home visits done between 01/01/2011 and 03/31/2012, in the duty area defined by the regional health agency, 28% are coming from EMT while 72% result from SOS Médecins switchboard. For EMT group, most of phone calls are passed during nights (54%), for high emergency level, with a medium transmission delay of 55 min and a medium home visit length of 48min, for uppermost digestive and painful reasons. The main diagnoses are digestive, cardiologic and psychiatric illnesses. For SOS group, most of home visits are performed during the day, for low emergency level, with a medium transmission delay of 1h16min and a medium home visit length of 43min. These home visits are mostly for digestive or infectious reasons. The main diagnoses match those reasons. These results lead to a type of home visits that reflects the daily association activity: a vital medical presence, during the day as in ambulatory care duty, in order to provide à follow up care at anyone asking for, whether it is for real emergency or relative emergency.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00808953
Contributor : Jean-Hugues Morneau <>
Submitted on : Tuesday, April 9, 2013 - 10:55:44 AM
Last modification on : Tuesday, May 11, 2021 - 11:36:16 AM
Long-term archiving on: : Monday, April 3, 2017 - 1:41:55 AM

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  • HAL Id : dumas-00808953, version 1

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Claudie Ardoin. Essai de typologie des appels pour demande de soins non programmés à domicile au standard de SOS Médecins Grenoble : étude comparative rétrospective entre les visites effectuées suite aux appels directs au standard SOS Médecins Grenoble et celles relayées par le SAMU centre 15, du 1er janvier 2011 au 31 mars 2012. Médecine humaine et pathologie. 2013. ⟨dumas-00808953⟩

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