Studying the access to a specific care pathway for vulnerable people - ROS - 2018 - Tome 47 - N°2

Santé publique

Pages 133 to 145

Drapeau de la France

ABSTRACT — Context. National health policies recommend the development and the evaluation of a specific care pathway for vulnerable people. Clermont-Ferrand University Hospital has developed a care plan including conservative dental treatment under general anesthesia for vulnerable populations.

Methodology. Access to this care pathway for phobic people and very young children, people with motor disabilities and people suffering from polypathologies was studied. A retrospective study over 3 years was conduite.

Results. Very young children represent almost a third of the population undergoing dental treatment under GA. The access rate, all populations taken together, is 83%. This rate varies according to the groups. The results show a saturation and disruptions in the care pathway.

Conclusion. Measures should be taken upstream, within and downstream this specific care pathway in order to facilitate the access to oral health for vulnerable people.