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Master Thesis

Caractéristiques des patients consultants dans la filière de l’ultra court des urgences de Thonon les Bains

Abstract : Emergency departments are facing a constant increase in attendance. Inappropriate consultations are often incriminated and held responsible for this increase. There is a growing gap between the need for unscheduled care and general practitioner availability. It is in this particular era, that the idea was born to set up a general practitioner in an "ultra-short unit" within the emergency rooms of the Thonon hospital in 2017, which aimed to relieve city based general practitioners and emergency physicians. Our work seeks to describe the population consulting the ultra-short unit by the affiliation with an attending physician, the patient’s route and ease of access to care.To do this, we interviewed, via a questionnaire, the patients referred to this sector by the reception and guidance nurse . All minors who were unaccompanied, or who were unable to complete the questionnaire on their own, were excluded.The collection took place from June 2nd to July 10th, 2020 and yielded 176 questionnaires. We were able to demonstrate that these are young patients, with an average age of 34 years and the most represented age group were the 26-45 years age group. They have traveled a short distance, and have a precarious professional and insurance situation. There is an over-representation of the “employee” and “non-active” categories and 12.5% ​​benefited from the CMU-C. A significant proportion of them, 28.8%, have no declared attending physician. Of these, 12.2% tried to get an appointment with a doctor before going to the emergency room. Among the patients with a declared attending physician, 55.9% tried to contact him upstream. All this shows that there is indeed a desire for outpatient consultation. The ultra-short course achieves its goals, as it allows a response to a demand that city medicine cannot meet. It therefore appears to be satisfactory in the medium term. Such an offer can lead to an increase of primary care consumption. Therefore, assessing the trend of the proportion of inapropriate consultations among the whole emergency department population could be the subject of future work.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03078357
Contributor : Jean-Hugues Morneau <>
Submitted on : Wednesday, December 16, 2020 - 4:28:57 PM
Last modification on : Friday, December 18, 2020 - 3:25:02 AM
Long-term archiving on: : Wednesday, March 17, 2021 - 7:44:42 PM

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Alexandra Meynet, Vincent Brunet. Caractéristiques des patients consultants dans la filière de l’ultra court des urgences de Thonon les Bains. Médecine humaine et pathologie. 2020. ⟨dumas-03078357⟩

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