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Master Thesis

Parcours de soins des personnes migrantes primo-arrivantes ayant consulte au pôle de santé d’un centre de premier accueil

Abstract : Background: access and continuity of care for migrants are complex. The objective of the study was to assess the health care trajectory of migrants applying for asylum and having been seen at a primary care unit (PCU).
Methods: this observational and retrospective study included the patients consulting at the PCU of a primary reception center (PRC) for men in Île-de-France (IdF) from 1/8 to 3/30/18. This center coordinated care with the appropriate healthcare facilities if needed. In the end, the migrants of the PRC were transferred to another shelter in France. For a close medical revaluation, a medical referral (MR) could be made. It was a transfer request towards a shelter with a social partner and which had to be close to a hospital.
Results: 728 men of median age of 26 years [IQ23-30], mostly originating from the Near/Middle East/Asia (n=464/710, 65%) and sub-Saharan Africa (n=227/710, 32%) were included. 214 orientations were made by the PCU towards other healthcare facilities, 94 in PASS, 38 in ophthalmology / ENT / odontology, 21 in emergencies, 31 in infectiology, 13 in psychiatry and 17 in community and health centers. 144 (67%) were confirmed as achieved, 8 (4%) did not occur (62 (29%) unknown data). Among 121 MR issued, 48 (40%) could have been contacted. A consultation was scheduled for 67% of IdF MR (n=10/15) and 70% of unspecified IdF MR (n = 23/33). For the other 73, the MR was not followed, the place of transfer was unknown or permission to contact the centers was refused.
Conclusion: the health care trajectory as organized at the PRC seems to be quite efficient but needs to be still improved.
Document type :
Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03467029
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Submitted on : Monday, December 6, 2021 - 12:29:20 PM
Last modification on : Thursday, April 21, 2022 - 5:25:51 PM
Long-term archiving on: : Monday, March 7, 2022 - 6:45:21 PM

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Marie Cortier. Parcours de soins des personnes migrantes primo-arrivantes ayant consulte au pôle de santé d’un centre de premier accueil. Médecine humaine et pathologie. 2019. ⟨dumas-03467029⟩

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