[Care of non-severe acute diarrhea in infants: a socioeconomic approach].
During a period of 3 months, 267 children with non severe acute diarrhea (NSAD) were treated by one of four modalities of care: in the private office of a general practitioner (n = 58), or of a paediatrician (n = 109), in a hospital emergency service (n = 62), or as hospital inpatients (n = 38). The socio-economic status and the cost of treatment for each of these children was subsequently assessed. The children admitted to hospital were mainly referred by hospital out-patient departments (47%) and general practitioners (37%) who, unlike paediatricians, care for more socially disadvantaged patients. The main reason for hospitalization was the presence of diarrhea with vomiting (55%). Several measures are proposed to redefine the role of the hospital and to improve cooperation with doctors in office practice, which would reduce both the number of hospitalizations due to NSAD and the length of hospital stay. Since the cost of treating NSAD hospital is 60 time greater than care at home, these measures are economically important.
Laboratoire d'Epidémiologie, Economie de la Santé et de Prévention, Toulouse.
A
A
Danzon
J P
JP
Collet
G
G
Duru
M
M
Hermier
D C
DC
Lambert
D003968:Diarrhea, Infantile / Q000191:economics* / Q000503:physiopathology / Q000628:therapy; D005194:Family Practice; D006760:Hospitalization; D006801:Humans; D007223:Infant; D007902:Length of Stay; D008511:Medicine; D012959:Socioeconomic Factors; D013038:Specialization
Prise en charge des diarrhées aiguës non graves du nourrisson: approche socio-économique.