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041 _afre
042 _adc
100 1 0 _aHellmann, R
_eauthor
700 1 0 _aAbraham, E.
_eauthor
700 1 0 _aThilly, N.
_eauthor
700 1 0 _aBabel, O.
_eauthor
700 1 0 _aMoyal, Anne
_eauthor
700 1 0 _aMichel, M.
_eauthor
700 1 0 _aChrusciel, Jan
_eauthor
700 1 0 _aEtienne, A
_eauthor
700 1 0 _aSanchez, S.
_eauthor
700 1 0 _aChouihed, T
_eauthor
245 0 0 _aFrequent users of emergency departments: Theoretical foundations and perspectives for action
260 _c2026.
500 _a45
520 _aFrequent users of emergency departments (EDs) pose a significant challenge to healthcare systems around the world 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 use.
786 0 _nAnnales françaises de médecine d’urgence | 16 | 1 | 2026-02-16 | p. 10-19 | 2108-6524
856 4 1 _uhttps://stm.cairn.info/journal-annales-francaises-de-medecine-durgence-2026-1-page-10?lang=en&redirect-ssocas=7080
999 _c1741112
_d1741112