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Master Thesis

Analyse des facteurs influençant la continuité du suivi médical post-libération des détenus toxicomanes sur les sites des maisons d'arrêt de Grasse et Nice entre janvier 2017 et juillet 2019

Abstract : Introduction : the dependance to opioid is common in prison environment. The medical care are heterogeneous. There are a lot of risks link with overdose after the release, especially during the 15 following days. The follow-up organization is complicated. It’s in this context that we try to highlight the factors which are associated with the continuity of care in two prison in Nice and Grasse.
Materials and methods : this is a retrospective and multicenter study about the patients who were treated for opioid addiction in one of the two prisons. They were released between the first january 2017 ans the 31th july 2019. The patients’ data and the follow-ups have been collected into the medical file and by phone interview. We have used univariate analysis.
Results : We manage to obtain the information about the close follow-up for 68 out of 71 inmates. 61.76% of them went to the doctor’s appointment. The follow-up consultation was in the town of the incarceration in 44.29 % of the cases. In these circumstances, they were more numerous to go to the doctor after the release. (56.10%, p=0.016) An obligation of care has been established in 10.17% oh the cases and each of them went to their appointment. We notice that the patients who go to the doctor have a higher frequency of single status than those who don’t. (78.57% vs 53.85%, p=0.013). The hepatitis C’s serology is positive for 32.35% of the inmates. There were more patients who had a treatment in the group who doesn't do the follow-up (85.71% vs 30.77%, p=0.057).
Conclusion : Our results suggest that several factors play a role in the continuity of the cares after the release : the single status, the location of the appointment, the HVC treatment, the obligation of care. Some prospective studies with a higher number of patients’ inclusions have to be done in order to refine our results. Thanks to that, we could be more enable to improve the follow-up after the inmates’ release.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02870355
Contributor : Bibliothèque Universitaire de Médecine Nice <>
Submitted on : Tuesday, June 16, 2020 - 4:14:51 PM
Last modification on : Tuesday, July 7, 2020 - 3:15:55 AM

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Coralie Bel. Analyse des facteurs influençant la continuité du suivi médical post-libération des détenus toxicomanes sur les sites des maisons d'arrêt de Grasse et Nice entre janvier 2017 et juillet 2019. Médecine humaine et pathologie. 2020. ⟨dumas-02870355⟩

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