Accueil MSH-Alpes

Publication

Non-take-up of healthcare by people in precarious situations. An exploratory and comprehensive approach to medical and social determinants. Français

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Author :

Antoine Rode
Grenoble, Odenore, September 2005

Collection :

Study n° 3

Language :

français

Master's thesis under the supervision of Philippe Warin.       

 

Addressee(s) : IEP Grenoble, Association for managing health centres (AGECSA – Association de gestion des centres de santé).

 

Fulll text in french

Summary

Methods : Interview survey on doctors, medical secretaries and 24 patients.

Scale : Commune.

Resulting focus : Factors of delayed take-up or non-take-up of healthcare encompass the three levels of general explanation of non-take-up: the individual (perception of pain and relationship to the body, scepticism about medicine, lack of information, social isolation, level of education, etc.); the organization supplying benefits (relationship with the doctor, specialists' refusal to see patients with universal medical coverage (CMU), reception inappropriate in certain institutions, etc.); and the system (threshold effect, delay in obtaining rights to health coverage, constraints in the management of chronic disease, etc.).
This shows us that: 1) the factors of delayed or non-take-up of care add up; 2) precariousness and health have one aspect in common: the relationship to time, which appears at every point in the analysis. As it settles in, precariousness leads to an unstable life, with empty periods that draw the person further away from fulfilling his or her needs.