Renoncement aux soins: comment appréhender cette réalité en médecine de premier recours? [Patients forgoing health care for economic reasons: how to identify this in a primary care setting?]

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State: Public
Version: Final published version
Serval ID
serval:BIB_D8AB07686119
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Renoncement aux soins: comment appréhender cette réalité en médecine de premier recours? [Patients forgoing health care for economic reasons: how to identify this in a primary care setting?]
Journal
Revue medicale suisse
Author(s)
Bodenmann P., Wolff H., Bischoff T., Herzig L., Warin P., Chatelard S., Burnand B., Vaucher P., Favrat B., Jackson Y.L., Vu F., Guessous I.
Working group(s)
Panese Francesco
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Publication state
Published
Issued date
26/11/2014
Peer-reviewed
Oui
Volume
10
Number
452
Pages
2258,2260-2263
Language
french
Notes
Publication types: Case Reports ; English Abstract ; Journal Article ; Review
Publication Status: ppublish
Abstract
Although the performance of the Swiss health system is high, one out of ten patients in general practitioner's (GP) office declares having foregone care in the previous twelve months for economic reasons. Reasons for foregoing care are several and include a lack of knowledge of existing social aids in getting health insurance, unavailability of GPs and long waiting lists for various types of care. Although long term knowledge of patients or a psychosocial history of deprivation or poverty may help identify individuals at risk of foregoing care, many may remain undetected. We propose then a few instruments to help GPs to identify, in a simple and structured approach, patients at risk of forgoing care for economic reasons; these patients are frequently deprived and sometimes poor.

Keywords
Aged, Cost of Illness, Health Expenditures, Humans, Male, Physician-Patient Relations, Poverty, Primary Health Care/economics, Primary Health Care/standards, Switzerland, Treatment Refusal
Pubmed
Create date
01/12/2014 14:35
Last modification date
20/08/2019 15:58
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