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Master thesis

Repérage de la fragilité sociale aux urgences du CHU de Saint Denis La Réunion et lien avec le service de Permanence d’Accès aux Soins de Santé

Abstract : Background: In Reunion, 39% of the population lives below the poverty line. Emergency departments are the first port of call for these vulnerable people. At the Félix-Guyon University Hospital, there is a tool : “the PASS alert”, which informs the PASS service that a situation requires their expertise. It is rarely used. Method: This is a quasi-experimental before-and-after study conducted in the emergency department of the CHU Félix-Guyon from 1 February to 30 June 2021. The PASCAL score was set up at the entrance of the emergency room. We studied the number of PASS alerts performed before and after the intervention. A descriptive analysis was carried out on 400 patient files with a positive PASCAL score. Results: 1720 patients were included, the number of PASS alerts remained stable over the two periods (30 and 28). 97% of the patients were considered as precarious after screening. Our study revealed a young population (46.4 years) with few comorbidities. The emergency room was the first port of call for 74.2% of them. Conclusion: Screening for precariousness in the emergency room of the Félix-Guyon University Hospital did not improve the rate of use of the PASS services. This study is a preliminary work to achieve a better medical and social care in the emergency room of the CHU Félix Guyon.
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Master thesis
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https://dumas.ccsd.cnrs.fr/dumas-03666184
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Submitted on : Thursday, May 12, 2022 - 11:49:11 AM
Last modification on : Saturday, May 14, 2022 - 3:25:34 AM

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  • HAL Id : dumas-03666184, version 1

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Eloi Cardinal. Repérage de la fragilité sociale aux urgences du CHU de Saint Denis La Réunion et lien avec le service de Permanence d’Accès aux Soins de Santé. Sciences du Vivant [q-bio]. 2022. ⟨dumas-03666184⟩

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