Orientation des patients par leur médecin généraliste vers les secteurs hospitaliers publics ou privés en France : étude épidémiologique prospective du réseau Sentinelles

Autor: Paul-Georges Reuter, Cécile Souty, Solen Kernéis, Gaetan Gavazzi, Thomas Hanslik, Marianne Sarazin, Thierry Blanchon, Clément Turbelin, Christophe Arena
Rok vydání: 2012
Předmět:
Zdroj: La Revue de Médecine Interne. 33:672-677
ISSN: 0248-8663
DOI: 10.1016/j.revmed.2012.08.010
Popis: PURPOSE: In-patients characteristics generate cost differences between hospitals. In France, there are few data on the characteristics on the patients referred to hospitals by their general practitioners (GPs) and none on the predictors of referral to the public or for-profit hospitals. The aim of this study was to analyze those characteristics and the predictors of referral to the public or for-profit hospitals. METHODS: We collected, prospectively, the request for hospitalizations made by the GPs of the Sentinelles network in France, from 2007 to 2009. Patients' characteristics and also the reasons for that request were analyzed. A logistic regression was used to compare the population between local hospitals. RESULTS: Ten thousand seven hundred and eighteen statements were collected. The median age was 73 years. Patients were women in 51% of the cases, and only 14% of the hospitalizations had been planned. Hospitalization in the public sector was preferred for young children and the elderly (P
Databáze: OpenAIRE