[Access to care, access to rights, and health education: stakes of the global management fo patients].
Together with primary care physicians, the public health clinic of the Max Fourestier Hospital (Nanterre, France) initiated a pilot experience within the framework of its access to health care network (ADES). In addition to full access to traditional health care, patients who agree to participate in this unique network benefit from a medical and social risk screening and prevention program. This program is proposed to all patients who, by definition, have one or more medical or social risk factors. At each visit, targeted history taking and the physical exam can lead to individualized propositions for a global approach to screening and prevention, whatever the initial reason for consulting. In addition, patients who require permanent care benefit from the dose link between the medical care and social care teams. Over the last year, this experience has involved 3430 consultations in a polyvalent clinic that has provided global care including health education and screening for health risks. Our analysis of the medical and ethical issues involved points out the importance of a global approach to health care.
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Laboratoire d'Ethique médicale, de Droit de la Santé et de Santé publique, Faculté de Médecine Necker, 156, rue de Vaugirard, F 75730 Paris.
Hervé
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D004992:Ethics, Medical; D005602:France; D006266:Health Education; D006297:Health Services Accessibility; D006806:Human Rights; D006801:Humans; D010044:Outpatient Clinics, Hospital / Q000706:statistics & numerical data; D010865:Pilot Projects; D012307:Risk Factors