Parcours de soin des enfants pris en charge par le service de PASS pédiatrique du CHU de Bordeaux de février 2017 à février 2018

Abstract : Introduction: social precarity leads to patients being side-lined from regular care pathways. The aim of this study is to describe the care pathway of children treated by the Bordeaux paediatric Health Service Access Point (permanence d’accès aux soins de santé-PASS) department during the year following its opening. Materials and method: this was a quantitative, observational, cross-sectional, descriptive and retrospective study conducted at a single centre from February 2017 to February 2018. All the children seen by the PASS for the first time during this period were included. The data was extracted from the computer files. The main endpoint was composite overview of the different steps of the care pathway. Results: 237 children were included. They were mostly under 6 years old (65%) and came from abroad (99%), in many cases less than 3 months previously (54%). They lived in precarious accommodation (43%) or were homeless (40%) and did not go to school (67%). Most of them were not covered by social security (60%) and were not previously followed by a doctor (81%), although some of them suffered from chronic conditions (22%). The majority of them were referred to the PASS by the paediatric emergency room, but other sources of referrals were also identified during the study period. 23% of the children were followed by the PASS paeditrician and 31% by specialist consultants. 30% had to be assisted by medical interpreters. The results of screening tests were incorrectly recorded. Children who had been seen by the PASS were less likely to go back to the paediatric emergency room and those who did go to the paediatric emergency room were mostly newly arrived immigrants. A minority (30%) were directed to an external partner at the end of the PASS support. Conclusion: the creation of the paediatric PASS improved children’s healthcare access and coordination of their care pathway. Development of these structures should be promoted.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02100899
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Submitted on : Tuesday, April 16, 2019 - 12:54:13 PM
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Alice Trifard. Parcours de soin des enfants pris en charge par le service de PASS pédiatrique du CHU de Bordeaux de février 2017 à février 2018. Médecine humaine et pathologie. 2019. ⟨dumas-02100899⟩

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