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Master Thesis

Caractéristiques médico-sociales et parcours de soins de migrants reçus en médecine générale courant 2016 après bilan d’orientation infirmier

Abstract : Since 2015, the number of newly arrived migrants arriving on the French territory highly increased. A nurse evaluation for sanitary orientation was established by the Samu Social de Paris in the emergency lodging centres, in partnership with general medicine structures. The aim of this work was to study the medico-social characteristics and the health care pathway of a migrant’s sample concerned by these measures. We realised a descriptive, retrospective, mono-centric epidemiological study of migrant patients received at the free appointment general medicine consultation at the Hôtel-Dieu hospital in Paris, between the 1st of May 2016 until the 31 of October 2016. The patient files enable us to inventory pathologies diagnosed as well as health care consumption: general and specialised, paramedical exams. 130 patients were included, essentially young men. 84.6% were native from Soudan and Afghanistan. 91.5% did not have any social protection cover in the beginning of the health care. 5.4% talked French. 26.2% of patients benefited from specialised medical advice. The most frequent pathologies were digestive (27.5%), osteoarticular (16.3%), cutaneous (15.9%) and psychiatric (10.7%). 28.8% were infectious. 16.9% of patients declared have suffered from violence. 12.4% of patients had chronic pathologies. For all the already known chronic pathologies, the medical follow-up or treatment had been disrupted. The health needs of newly arrived patients showed that a medical consultation had to be proposed systematically.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03217300
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Submitted on : Tuesday, May 4, 2021 - 5:29:00 PM
Last modification on : Tuesday, September 7, 2021 - 3:23:51 AM

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  • HAL Id : dumas-03217300, version 1

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Laura Fittes-Pucheu. Caractéristiques médico-sociales et parcours de soins de migrants reçus en médecine générale courant 2016 après bilan d’orientation infirmier. Médecine humaine et pathologie. 2019. ⟨dumas-03217300⟩

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