LEPS

Researches

Accès aux soins des Populations Précaires : modifications des conditions d’accès à l’Aide Médicale d’Etat et à la Protection Universelle Maladie en France entre 2010 et 2021 et impact sur le recours au dispositif « Soins Urgents et Vitaux » pour les patients migrants malades (POPUP)

Project overview This project evaluates the impact of public policies on access to healthcare for migrant populations. We will carry out a socio-sanitary and economic evaluation of the use of the "Urgent and Vital Care" (SUV) system for migrant patients without social care and we will analyze the impact of two specific reforms of access to care on this system: -the introduction in 2011 (and its withdrawal in 2012) of a right of entry to the Aide Médicale d'Etat (AME) -the modification of the conditions of access to the Protection Universelle Maladie (PUMa) for asylum seekers by subordinating it to a period of 3 months of stable residence in France. By using the national databases of the Programme de Médicalisation des Systèmes d'Information (PMSI) since 2010, this work will make it possible to describe the hospital stays of patients covered by the SUV system and to compare them in terms of healthcare consumption with those covered by the AME and the PUMa. Finally, we will analyze the effects of the changes in the conditions of access to the AME and PUMa on hospitalizations under the SUV system in quantitative terms (changes in number and cost) and qualitative terms (pathologies, duration, severity).

Collaboration FHU IMPEC
URC Eco APHP
LIEPP Sciences Po

Research team

Anne-Laure FERAL-PIERSSENS

Anne-Laure FERAL-PIERSSENS

Docteur

Doctor of Public Health, Emergency Physician at the Avicenne University Hospital - USPN
Member of LEPS UR 3412, University Sorbonne Paris Nord and member of the hospital-university federation IMPEC, APHP, University of Paris, INSERM.
His research work focuses on social inequalities in health and on the use of emergency care by vulnerable populations, analyzed from two different angles:
- The targeted analysis of the modalities of recourse and the characteristics of the care of specific populations that present one or more factors of vulnerability.
- The study of the interactions between the organization of the care offer upstream and downstream of emergency services and the trajectories of vulnerable populations.

Activités récentes : POPUP study: Access to care for precarious populations: evolution of the use of the Urgent and Vital Care system in France between 2010 and 2021 (collaboration LEPS, FHU IMPEC, LIEPP Scences Po, URC eco APHP)

REO study: Implementation analysis of a model for redirecting low-severity patients presenting at the Aubéce emergency department to local medical clinics (collaboration with the University of Sherbrooke, CIUSSS Nord de l'Ile de Montréal)

VESTIGE study: Detection, management and trajectory of victims of domestic violence in emergency rooms.

Publications récentes : 1. Feral-Pierssens AL, Morris J, Messier A et al. Safety of a redirection program using an electronic application for low-acuity patients visiting ean Emergency Department : a prospective cohort study, BMC Emerg Med, 2022;22:71

2. Feral-Pierssens AL, Matta J, Rives-Lange C, Goldberg M et al. Healthcare use by adults with obesity: A French cohort study. Obesity 2022;30:733-42

3. Hellmann R, Feral-Pierssens AL, Michault A, Casalino E et al. The analysis of the geographical distribution of emergency departments’ frequent users : a tool to prioritize public health policiest ? BMC Public Health. 2021;21:1689

4. Feral-Pierssens AL. Inégalités sociales de santé et médecine d’urgence. Ann Fr Med Urg, 2021;11:33-40.

Email :

ORCIDPublication 1Publication 2Publication 3Publication 4

Isabelle DURAND-ZALESKI

Isabelle DURAND-ZALESKI

Professeure

Université : URC EcoLaboratoire : APHP

Activités récentes :

Publications récentes :

Email :

Thomas RAPP

Thomas RAPP

Professeur

Université : Université Paris V

Activités récentes :

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Email :

Kevin ZARCA

Kevin ZARCA

URC Eco

Université : APHP

Activités récentes :

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Email :

Research themes

Individual and collective skills to support empowerment
Health Promoting Environments
Reorientation of health services and professional training

Technical data

Code
Funding
Yes
Period of realization
In preparation
Site Web
sciencespo.fr/liepp/fr/content/acces-aux-soins-des-populations-precaires.html