Access to Health Services, Chronic Disease, Health Disparity, Minority and Vulnerable Populations, Social Security
Conditions
Keywords
Health care system, Vulnerable Populations, Chronic Disease, social security, French Guiana
Brief summary
It is an observational research, conducted at the Cayenne hospital about the future of hypertensive and/or diabetic patients after their follow-up at the Permanent Access to care (PASS). The PASS is a medico-social structure that allows access to medical monitoring and support towards common law. The main objective of the study is to evaluate the use of the common law system by these patients. Then the goal is to study the relationship between integration into the system and socio-demographic, medical characteristics, and understanding of health monitoring. Data will be collected by guided telephone interviews and the review of medical records.
Detailed description
The problems of social inequalities in access to care are major public health issues as recalled by the Regional Health Agency (ARS) of French Guiana in the Regional Health Project (PRS). French Guiana has high precariousness indicators with half of its population living below the poverty line. In addition, health indicators are often more degraded in precarious populations. Thus, in French Guiana, there is a higher rate of premature mortality, partly attributable to obesity, sedentary lifestyle, diabetes and hypertension than in mainland France. Despite an increased need for follow-up of chronic pathologies, the precarious population faces many difficulties in accessing care. The Permanent Access to Health Care (PASS) in Cayenne is a medico-social system, created to respond to these problems. The PASS allows access to monitoring of chronic diseases and support towards the common law healthcare system. Although the phenomenon of non-use of care studied in the precarious population of western French Guiana seems primarily attributable to the absence of social security. The main objective is to evaluate the use of the common law system in hypertensive or diabetic patients treated at the PASS in Cayenne. In addition, the investigators want to study the relationship between integration into the system and the socio-demographic, medical characteristics, understanding of health monitoring.
Interventions
None listed
Sponsors
Centre Hospitalier de Cayenne
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Be 18 years or older * Past follow-up by the PASS of the Cayenne hospital for at least one chronic pathology identified as follows: hypertension, diabetes. * The discharge and reorientation to general practitioner have happened between 1 month and 1 year prior to this study.
Exclusion criteria
* Patient with a psychiatric condition * Refusing the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The proportion of patients integrating the common law system | during inclusion | It is collected through telephone interviews while inclusions are carried out. |
Secondary
| Measure | Time frame |
|---|---|
| Study the relationship between system integration and socio-demographic, understanding characteristics | during inclusion |
| Study the relationship between system integration and medical, health follow-up | during inclusion |
| Proportion of patients resorting to one or more consultations with a general practitioner. | during inclusion |
Countries
French Guiana
Outcome results
None listed