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[Management of emergency department frequent users]
Francis Vu1, Olivier Hugli2, Jean-Bernard Daeppen3
1Département vulnérabilités et médecine sociale, Centre universitaire de médecine générale et santé publique, 1011 Lausanne.
Abstract:
For decades, emergency departments of hospitals in industrialized countries have been dealing with the challenges of a group of patients responsible for a disproportionate number of emergency room visits : the emergency department frequent users. Although they represent only a minority of all emergency department patients, their healthcare can often be complex if not difficult due to their health vulnerability (e. g., psychiatric disorders associated with substance addictions), often aggravated by a precarious psycho-social context (e. g., homelessness, illegal status, poverty, etc.). Taking care of these patients by using a case management approach can promote the development of an interprofessional and coordinated healthcare plan that includes their empowerment.
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