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Master Thesis

Bilans de santé des enfants de 3-4 ans de l’année scolaire 2015-2016 dans le territoire de Bièvre-Valloire : résultats et perspectives

Abstract : Introduction: The checkups of 4 years in nursery school are part of the missions of the maternal and child protection service (PMI), they are legislated in the french code of public health. They are not standardized at the national level. The objective of this study is to evaluate the orientations and their follow-up. Method and population: All children eligible for a 4-year check-up in kindergarten in the Bièvre-Valloire area (Isère department) were included in the study. The first part of the study is the collection of referrals to a doctor or a speech therapist. The second part is obtaining follow-ups of these orientations (by mail ou by phone) for the 16 months. Results: 1014 children were included. The 4-year balance sheet participation rate is 92%. 21% of children were referred for one or more medical advice. 253 referrals to a specialist were requested (27% of check-ups). Referral to an ophthalmologist for suspicion of visual impairment is the most common (15%). 188 returns (74%) of orientations were collected during the study. 60 children (28%) were lost from view. The returns on vaccinations are low (21%). During the follow-up, 114 care (48%) are started. The referrals to a speech therapist have the most positive diagnosis (56%). Conclusion: Less than 1 in 2 children have been diagnosed positively. New perspectives on screening tests should be considered.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01712170
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Submitted on : Monday, February 19, 2018 - 11:19:35 AM
Last modification on : Wednesday, July 15, 2020 - 8:58:04 AM
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Ambre Jeangeorges Charvolin. Bilans de santé des enfants de 3-4 ans de l’année scolaire 2015-2016 dans le territoire de Bièvre-Valloire : résultats et perspectives. Médecine humaine et pathologie. 2018. ⟨dumas-01712170⟩

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