Handicap social et hôpitaux publics : pour un modèle d'allocation de ressources dans le cadre d'une politique de santé publique (notice n° 2231124)
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| fixed length control field | 03580cam a2200397 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20260517000312.0 |
| 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 | Castiel, Didier |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Handicap social et hôpitaux publics : pour un modèle d'allocation de ressources dans le cadre d'une politique de santé publique |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2009.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 7 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | RésuméL’administration d’un questionnaire de handicap social auprès de 696 usagers du 14 mars au 4 avril 2007 a permis de mesurer, avec les données PMSI, que les trois quarts de la population étudiée présentent un handicap social. Pour 19,2 %, il s’agit d’un handicap social fort. Les trois indicateurs « revenu », « capital mobilier » et « confort intérieur » sont des déterminants majeurs du handicap social. L’état de santé plus dégradé n’est pas la particularité des patients les plus handicapés sociaux et il n’entraîne pas de réelle surconsommation médicale. Les personnes ayant un handicap social restent hospitalisées plus d’un jour et demi de plus en moyenne. Cela permet d’en déduire un surcoût hospitalier de 10,3 millions d’euros. Un modèle de mesure du handicap social est proposé et peut être utilisé dès l’admission et en routine pour repérer les personnes ayant un handicap social, afin de leur proposer des aides spécifiques et diminuer la durée moyenne de séjour (DMS). Il peut permettre le suivi d’une politique de santé publique. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Social disability and public hospitals: towards a model of resource allocationA recent study to measure social disability used the results of a questionnaire administered to 696 patients between March 14th and April 7th 2007 which showed that three-quarters of the population surveyed have a social disability. Major determinants of social disadvantage are found using three specific indicators: income, assets and home-interior comfort. A greater deterioration of poor health status was not particularly noted within the most socially disadvantage group of patients, and social disability did not lead to actual over-consumption of medical products or services. People with social disabilities remained hospitalised more than 1.5 days over the average length of hospital stay which accounts for an inferred additional costs to hospital budgets equivalent to 10.3 million €.The article proposes a model for measuring social disability that can be used routinely upon patient admission to identify socially disadvantaged cases in order to offer those patients specific and tailored assistance and reduce the length of their stay. This model may also support public health policy monitoring. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | handicap social |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hôpital public |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | inégalités de santé |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | politique |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | précarité |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | programme de médicalisation du système d'information (PMSI) |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | santé publique |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | usagers |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | French hospital information system (PMSI) |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | health inequalities |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | patients |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | policy |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | precariousness |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | public health |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | public hospital |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | social disability |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Bréchat, Pierre-Henri |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Mathieu-Grenouilleau, |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Rymer, Roland |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Santé Publique | 21 | 2 | 2009-05-19 | p. 195-212 | 0995-3914 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://stm.cairn.info/revue-sante-publique-2009-2-page-195?lang=fr&redirect-ssocas=7080">https://stm.cairn.info/revue-sante-publique-2009-2-page-195?lang=fr&redirect-ssocas=7080</a> |
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