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Master Thesis

Observance des conseils de prévention et de soins préconisés au décours de l'Examen de Prévention en Santé : l’expérience au Centre d’Examens de Santé de Bayonne

Abstract : Introduction: in an increasing social inequalities environment concerning health in France, access to healthcare for vulnerable population is a major health issue. The Health Insurance Health Examination Centers (CES) have for mission to improve that access by offering Preventive Health Examinations (EPS) to precarious populations. Our study’s main objective was to determine the ratio of consultants who performed examinations and cares recommended by the EPS. Method: cohort study with retrospective, single-center data collection within the Bayonne CES with consultants who carried out an EPS in 2018. Data collected from CES medical software and then from CPAM software. Results: 1459 consultants were included in the study. At least one anomaly was detected for 86.02% of those, among whom 23.11% (minimum workforce) did not start any care after the EPS. Typical profile of the patient belonging to the non-responder sub-group is : a young man, without neither appointed regular general practitioner nor complementary health insurance. Anomaly type, its severity and actions’ implementation within the CES influenced the follow-up. Discussion: EPS allows vulnerable and far from care population to have access to preventive actions, screening and to ease identified anomalies’ management, allowing them to better integrate a care pathway. However, almost a quarter of consultants do not follow up on the preventive examination done.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03468730
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Submitted on : Tuesday, December 7, 2021 - 12:07:04 PM
Last modification on : Wednesday, December 15, 2021 - 3:57:48 AM

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  • HAL Id : dumas-03468730, version 1

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Lea Lorente-Bilbao. Observance des conseils de prévention et de soins préconisés au décours de l'Examen de Prévention en Santé : l’expérience au Centre d’Examens de Santé de Bayonne. Médecine humaine et pathologie. 2021. ⟨dumas-03468730⟩

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