Usagers fréquents des urgences : fondements théoriques et perspectives d’action (notice n° 1665474)
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| fixed length control field | 04980cam a2200469 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20260222002641.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Hellmann, R |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Usagers fréquents des urgences : fondements théoriques et perspectives d’action |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2026.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 31 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Les usagers fréquents des services d’urgence (UFU) représentent, de par l’utilisation excessive qu’ils ont de ces services, un défi majeur pour les systèmes de santé du monde entier. Cette étude examine les comportements des UFU en France, en explorant les tendances longitudinales et en évaluant les facteurs individuels, organisationnels et territoriaux influençant leur utilisation. D’après les données du Système national de données de santé, les UFU représentaient 16 % des patients des structures d’urgences (SU) en 2021, mais 34 % des visites. Ces patients, qui souffrent fréquemment de troubles psychiatriques, respiratoires ou cardiovasculaires, ont des dépenses de santé considérablement plus élevées que les autres usagers des SU. Contrairement aux attentes, aucune association significative n’a été constatée entre un recours fréquent aux SU et un accès limité aux soins primaires. Nos résultats soulignent la nécessité d’une approche multidimensionnelle, combinant les perspectives individuelles et systémiques, pour améliorer la prestation de soins et optimiser l’allocation des ressources. Dans ce cadre, l’Agence régionale de santé du Grand Est a développé une solution de cartographie dynamique afin de mieux comprendre ce phénomène et de permettre des interventions ciblées. Parallèlement, le dispositif d’accompagnement des usagers multiples des urgences (DAUM) mis en place sur le Grand Nancy utilise des méthodes de détection et des stratégies d’accompagnement sur mesure. Bien que des difficultés persistent concernant l’engagement des patients et la qualité des données, les premiers résultats confirment l’utilité de profils d’intervention individualisés pour répondre aux besoins des UFU. Ces résultats ouvrent la voie à l’élaboration de stratégies efficaces de prévention primaire ciblant les facteurs de risque associés à une fréquentation fréquente des urgences. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Frequent users of emergency departments (EDs) pose a significant challenge to healthcare systems worldwide due to their disproportionately high utilization. This study addresses the behavioral patterns of frequent ED users in France by exploring longitudinal trends and assessing individual, organizational, and territorial factors influencing their use. Based on data from the French National Health Data System, frequent ED users accounted for 16 % of ED patients in 2021, yet they generated 34 % of visits. These patients, who frequently suffer from psychiatric, respiratory, and cardiovascular conditions, incurred considerably higher healthcare expenditures than non-frequent users. Contrary to expectations, no significant association was found between frequent ED use and limited access to primary care. Our findings underscore the necessity of a multifaceted approach, merging individual and systemic perspectives, to improve healthcare delivery and optimize resource allocation. As part of this effort, the Grand Est Regional Health Agency has developed a dynamic mapping solution to better understand this phenomenon and enable targeted interventions. Concurrently, the DAUM initiative in Grand Nancy, employs improved detection methods and tailored support strategies. Although challenges persist regarding patient engagement and data quality, early findings support the utility of individualized intervention profiles to address the needs of frequent ED users. These results pave the way for the development of effective primary prevention strategies targeting risk factors associated with frequent ED consumption. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | accompagner |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | complexité |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | comprendre |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | coordination |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | détecter |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | prévention |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | services d’urgences |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | utilisateurs fréquents |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | complexity |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | coordination |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | detect |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | emergency services |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | frequent users |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | prevention |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | support |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | understand |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Abraham, E. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Thilly, N. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Babel, O. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Moyal, Anne |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Michel, M. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Chrusciel, Jan |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Etienne, A |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Sanchez, S. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Chouihed, T |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Annales françaises de médecine d’urgence | 16 | 1 | 2026-02-16 | p. 10-19 | 2108-6524 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://stm.cairn.info/revue-annales-francaises-de-medecine-durgence-2026-1-page-10?lang=fr&redirect-ssocas=7080">https://stm.cairn.info/revue-annales-francaises-de-medecine-durgence-2026-1-page-10?lang=fr&redirect-ssocas=7080</a> |
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