评估住院后持续接受医疗服务的患者的普通法转诊方案。

IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
J. Khouani , M. Jaillard , E. Launay , S. Del Duca , G. Guarinos , J. Borlot , P. Auquier , C. Tabélé
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引用次数: 0

摘要

简介PASS是一个医院护理单位,为不稳定的人提供医疗服务,并在他们获得初级医疗保险后立即为他们提供支持。此前没有对这种支持的细节进行描述。马赛公立医院(AP-HM)的成人PASS部门制定了一项转诊到公共卫生系统的医院到社区协议。本研究的目的是描述如何应用该方案,在六个月时评估从该方案中受益(或未受益)的患者是否纳入全科医学,并确定关键影响因素。材料和方法这项两臂前瞻性观察性研究收集了不稳定患者在获得医疗保险六个月后的初级保健途径数据,并了解了新存在的方案是否得到了有效实施。这项研究是对PASS-MULTI研究中获得完全健康保险的一组人进行的。结果在2020年11月至2022年8月期间,共有60名患者,其中35人使用了医院到社区方案。其中68.8%的介入组在6个月内咨询过转诊的全科医生,对照组为40%(p=0.04)。普通医学随访的开始与方案的应用有关(p=0.04在初级保健领域。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Évaluation d'un protocole d'orientation vers le droit commun parmi des patients ayant été suivis en permanence d'accès aux soins de santé suite à une hospitalisation

Introduction

PASS is a hospital care unit that provides access to health care for precarious persons and supports them as soon as they have obtained primary health care insurance. No details of this support had previously been described. A Hospital-to-Community protocol for referral to the public health system has been developed at the adult PASS unit of the Marseille public hospitals (AP-HM). The objectives of this study are to describe how this protocol is applied, to evaluate at six months the inclusion in general practice of patients having benefited (or not) from this protocol and to determine the key influencing factors.

Material and method

This two-arm prospective observational study collected data on the primary care pathways of precarious patients six months after their having obtained health coverage, and found out whether or not the newly existing protocol had been effectively implemented. It was carried out on a cohort of people included in the PASS-MULTI study who had acquired complete health coverage.

Results

Sixty patients were included between November 2020 and August 2022, 35 of whom had availed themselves of the Hospital-to-Community protocol. Among them, 68.8% in the interventional group had consulted their referring general practitioner within six months, vs. 40% in the control group (p = 0.04). The initiation of follow-up in general medicine was associated with application of the protocol (p = 0.04).

Conclusion

This study described an initial Hospital-to-Community protocol for referral to the primary healthcare system of patients followed up in the PASS unit and found an association between application of this protocol and initiation of follow-up in primary healthcare.

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来源期刊
Revue D Epidemiologie Et De Sante Publique
Revue D Epidemiologie Et De Sante Publique 医学-公共卫生、环境卫生与职业卫生
CiteScore
1.70
自引率
0.00%
发文量
672
审稿时长
78 days
期刊介绍: The Journal of Epidemiology and Public Health maintains and deepens its own work through the diversity of methodologies and disciplines covered in each issue. The journal also offers pedagogical articles for teachers and students. Articles can be submitted in French or English. Discover a variety of information through : - research articles and reviews, - all disciplines: epidemiology, health economics, - various subjects: cancer, nutrition, aging, - and a wide geographical scope.
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