Recours aux soins et utilisation des services de santé à Nouakchott (Mauritanie): inégalités spatiales ou pesanteurs sociales?

2010 ◽  
Vol 20 (1) ◽  
pp. 51-58 ◽  
Author(s):  
Ibrahima Sy ◽  
Moussa Keita ◽  
Moustapha Ould Taleb ◽  
Baidy Lo ◽  
Marcel Tanner ◽  
...  
Keyword(s):  
Services De Santé ◽  
Utilisation Des Services

scholarly journals Impact de la pandémie de la COVID-19 sur l´utilisation des services de santé dans la ville de Niamey: une analyse dans 17 formations sanitaires de janvier à juin 2020

2021 ◽  
Vol 39 ◽  
Author(s):  
Abdoulaye Mariama Baissa ◽  
Batouré Oumarou ◽  
Haladou Moussa ◽  
Blanche-Philomene Melanga Anya ◽  
Tambwe Didier ◽  
...  
Keyword(s):  
Services De Santé ◽  
Utilisation Des Services

scholarly journals Différences de mortalité selon le sexe et utilisation des services de santé au Mali

2004 ◽  
Vol 21 (1) ◽  
pp. 99-119
Author(s):  
Cheikh S.M. Mbacké ◽  
Thomas K. Legrand
Keyword(s):  
Services De Santé ◽  
Utilisation Des Services

RÉSUMÉ Les données de l'Enquête démographique et de santé (EDS) effectuée au Mali en 1987 révèlent une surmortalité féminine à partir de trois mois après la naissance. Les garçons semblent bénéficier d'un traitement de faveur en matière de soins médicaux concernant la diarrhée et la fièvre et, en zones urbaines, les vaccinations multiples pour la polio et pour l'ensemble diphtérie, coqueluche et tétanos. L'état nutritionnel et l'âge au sevrage sont similaires pour les garçons et les filles. Les problèmes que posent les données EDS pour ce type d'analyses sont discutés en détail.

scholarly journals Statut socio-économique et utilisation des services de santé à Montréal

2009 ◽  
Vol 56 (2) ◽  
pp. 194-210 ◽  
Author(s):  
Jack Siemiatycki ◽  
Lesley Richardson
Keyword(s):  
Care Utilization ◽  
Emergency Rooms ◽  
Physician Services ◽  
Dental Services ◽  
Services De Santé ◽  
Physician Visits ◽  
Class Differences ◽  
The Poor ◽  
Parallel Increase ◽  
Utilisation Des Services

Abstract National health insurance was implemented in Quebec in late 1970. Previously reported surveys carried out in Montreal in 1969-70 and 1971-72 showed that while there was no change in overall volume of services, there was a redistribution, with increases among the poor and decreases among the wealthy. We conducted a survey in late 1974 to determine the "steady-state" impact of l’assurance-maladie on social class differences in health care utilization. In a socially heterogeneous area of Montreal 1,559 households were surveyed. When reported morbidity status was taken into account, physician visit rates in the past two weeks were 21.6 per cent, 20.2 per cent, and 20.4 per cent in low, middle and high economic classes respectively, confirming the disparity of access has been reduced. However, relative to the non-poor, the poor still made considerable use of hospital clinics and emergency rooms for primary care and more of their visits entailed prescriptions and physician-initiated requests to return. The latter may indicate that the poor still consult the doctor for more advanced conditions than the non-poor. There is no evidence of abuse of "free" medical care by the poor. In contrast to the equalization in use of physician services, dental services are still unequally distributed, although compared with the 1969-70 and 1971-72 surveys, utilization rates were higher in 1974 in all social classes. The overall increase in per capita physician visits was confirmed by statistics of the Régie de l’assurance-maladie du Québec. A parallel increase in the supply of physicians kept the workload of the average physician at a constant level.

scholarly journals Health Service Use among Individuals with Depression and Psychological Distress: A Population-Based Cohort Study in Ontario, Canada: Utilisation des services de santé par les personnes souffrant de dépression et de détresse psychologique : une étude de cohorte dans la population de l’Ontario, Canada

2020 ◽  
Vol 65 (9) ◽  
pp. 641-651
Author(s):  
Maria Chiu ◽  
Farah E. Saxena ◽  
Paul Kurdyak ◽  
Andrew S. Wilton ◽  
Simone N. Vigod
Keyword(s):  
Health Care ◽  
Psychological Distress ◽  
Health Care Utilization ◽  
Acute Care ◽  
Care Utilization ◽  
Services De Santé ◽  
Unexposed Group ◽  
Utilisation Des Services ◽  
Over Time

Objectives: Relatively little is known about how health-care utilization differs among individuals with psychological distress compared to those with major depressive disorder (MDD). Methods: Ontario participants of the Canadian Community Health Survey Cycle 1.2 (2002) were linked to health administrative data to follow their health-care utilization patterns for up to 15 years. Based on their survey responses, we classified individuals hierarchically into Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, criteria MDD, psychological distress (Kessler-6: 8 to 24), or an unexposed group with neither condition. We compared the rates of outpatient and acute care mental and nonmental health-related visits across the 3 groups over time using Poisson regression. Results: Among the 430 individuals with MDD, 668 with psychological distress, and 9,089 in the unexposed group, individuals with MDD and psychological distress had higher rates of health-care utilization than the unexposed overall and across time. The rates of psychiatrist visits for the MDD group were significantly higher than the other groups initially but declined over the follow-up. Conversely, the rates of psychiatrist visits among the psychological distress group increased over time and converged with that of the MDD group by the end of follow-up (rate ratioMDD vs. psychological distress at 1 year: 4.20 [1.97 to 11.40]; at 15 years: 1.53 [0.54 to 4.08]). Acute care visits were similar between the MDD and psychological distress groups at all time points. Conclusions: Individuals with psychological distress required mental health care rivalling that of individuals with MDD over time, suggesting that even a cross-sectional assessment of significant psychological distress is a serious clinical concern.

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