title: [The permanence of access to health care: a tradition of hospitality and innovative organizational model].
abstract: The PASS ("Permanence d'Accès aux Soins de Santé") are hospital-based units providing primary care services to patients who lack health care coverage. Using a "whole person" approach and providing a combination of health and social care, the PASS offer an appropriately adapted response to complex health problems within a context of marked social vulnerability and contribute to reducing health inequalities. The PASS are an example of an interdisciplinary approach to health care which contrasts with the segmentary approach typical of conventional hospital departments. Operating at the interface between primary and secondary care, the PASS have the potential to become key players in developing models of patient pathways. Their presence reduces inappropriate emergency attendances and hospitalisation by offering medical care in a timely fashion, in an outpatient-type setting. The PASS can provide a resource for research into optimum models of health care, where the social context of health needs are fully recognized and inform medical treatment appropriately. According to their potential development, PASS are living labs of an innovative organizational model of care.
authors.affiliation: Permanences d'accès aux soins de santé (PASS) Verlaine, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France. Electronic address: claire.georges@sls.aphp.fr.
authors.forename: C
authors.initials: C
authors.lastname: Georges-Tarragano
mesh_terms: D000533:Altruism; D001294:Attitude to Health; D003695:Delivery of Health Care / Q000458:organization & administration / Q000639:trends; D006297:Health Services Accessibility / Q000458:organization & administration*; D006761:Hospitals; D006801:Humans; D033183:Interdisciplinary Communication; D017146:Models, Organizational; D009936:Organizational Innovation; D010348:Patient Care Team / Q000458:organization & administration; D011320:Primary Health Care / Q000458:organization & administration*
keywords: Health care access unit; Permanence d’accès aux soins de santé; Primary care; Soins primaires; Vulnerability; Vulnérabilité