title: [Cardiovascular pathologies and referrals for hospitalization by general practitioners: factors influencing the choice of a private or public hospital].
abstract: OBJECTIVE
  When a hospitalisation is required in France, the general practitioner has the choice between public or private hospitals. The reasons for this choice are poorly known.
  
  
  METHODS
  All the cases of hospitalisation requirement reported between 1997 and 2001 by the general practitioners involved in the Réseau Sentinelles(®) were included in this study. The cardiovascular reasons were extracted from all these declarations. Factors influencing the general practitioners' choice between public and private sector were assessed by using logistic regression.
  
  
  RESULTS
  During the study period, 45,960 cases of hospitalisation requirement were reported. Amongst these cases, 4475 (10.8%) were made for clearly defined cardivoascular diseases (cardiac failure 38.0%, coronary heart disease 24.7%, atrial fibrillation 11.7%, pulmonary embolism 8.4%, hypertension 3.6%, pericarditis 1.6%, cardiovascular check-up 1.5%). Referrals to private sector depended on the reason for hospitalisation, cardiovascular check-up being the reasons the most referred to a private institution (33.8% of patients) and cardiac insufficiency the less referred to private institution (17.2% of patients). Referral to private sector was also associated with physician (patient's usual general practitioner) and consultation (consultation outside of a context of emergency) characteristics.
  
  
  CONCLUSIONS
  Whether patients suffering from cardiovascular diseases are sent to a public or private sector is not completely haphazard. Further analyses are needed in the context of new French health policies.
authors: AP-HP, service de médecine interne, hôpital Saint-Antoine, 184, rue du Faubourg-Saint-Antoine, 75012 Paris, France.
authors: M
authors: M
authors: Bodin
authors: Inserm, UMR S 707, 75012 Paris, France.
authors: T
authors: T
authors: Blanchon
authors: Inserm, UMR S 707, 75012 Paris, France; AP-HP, service de médecine interne, hôpital Ambroise-Paré, 92100 Boulogne Billancourt, France; Université Versailles Saint-Quentin-en-Yvelines, 92100 Boulogne Billancourt, France.
authors: T
authors: T
authors: Hanslik
authors: Inserm, UMR S 707, 75012 Paris, France.
authors: C
authors: C
authors: Turbelin
authors: AP-HP, service de médecine interne, hôpital Saint-Antoine, 184, rue du Faubourg-Saint-Antoine, 75012 Paris, France; Université Pierre-et-Marie-Curie-Paris 6, 75006 Paris, France. Electronic address: laurence.fardet@sat.aphp.fr.
authors: L
authors: L
authors: Fardet
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002318:Cardiovascular Diseases / Q000453:epidemiology*; D005260:Female; D005602:France / Q000453:epidemiology; D006760:Hospitalization / Q000706:statistics & numerical data*; D016304:Hospitals, Private / Q000706:statistics & numerical data*; D006779:Hospitals, Public / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010343:Patient Admission / Q000706:statistics & numerical data; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D012189:Retrospective Studies
keywords: Cardiovascular diseases; Hospitalisation requirement; Pathologies cardiovasculaires; Pathologies pulmonaires; Pulmonary diseases; Recours à l’hospitalisation