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Master Thesis

Devenir des patients consultant à la PASS de l'Hôpital Henri MONDOR

Abstract : Despite substantial legislation, access to healthcare remains a threatened right. The poorest patients face complex administrative procedures, stigmatization from the administration and caregivers. Social inequalities in health have profound consequences. PASS (Health Care Access Permanence) welcome people without social or partial coverage and/or in precarious situations. Their mission is to promote the return to common law. Many studies show insertion between 60 and 65% in the wake of PASS care. The objective was to evaluate the percentage of patients leaving the Henri MONDOR hospital's dedicated medical PASS, once acquired rights, continuing their follow up with a single-handed general practitioner. Secondarily, we investigate in the various factors that can influence this insertion. The inclusion criteria were the absence of open social security rights at the first consultation, at least one social consultation and one medical consultation. The included patients were contacted by phone at 3 months. The primary outcome was a consultation with a general practitioner within 3 months. 138 patients were included in our study between April 2017 and October 2017: 114 patients were analyzed and 24 lost to follow-up. Among the analyzed patients, 78% had consulted a general practitioner. The mastery of the French language was significantly more represented in this population. Consequently, to this result, we plan to map the general practitioners speaking a language other than French in Ile-de-France and to identify the places to learn French for this population.
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Master Thesis
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Submitted on : Thursday, October 3, 2019 - 9:50:48 AM
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  • HAL Id : dumas-02304238, version 1


Marie Viciana. Devenir des patients consultant à la PASS de l'Hôpital Henri MONDOR. Médecine humaine et pathologie. 2018. ⟨dumas-02304238⟩