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[Analysis of pediatric home care services of the Assistance Publique--Hôpitaux de Paris]
A Develay1, A Fontaine, M Guiot
1Service de santé publique, hôpital Robert-Debré, Paris, France.
Insights
The initial analysis of Paris home health care for children reveals a significant number with chronic conditions and poor socioeconomic factors. Improved communication is crucial for better integration with hospital services.
Area of Science:
- Pediatrics
- Public Health
- Healthcare Management
Background:
The Home Health Care services for children in Paris was recently established and it is interesting to analyse the first results of their activities.
Population And Methods:
A random sample (n = 157) of the 418 children admitted to home health care in the Assistance publique-Hôpitaux de Paris (HAD-P) in 1991 has been studied; only one episode of care was analyzed for each child. The data analysed included sociodemographic characteristics of the children, their clinical diagnosis and the care received.
Results:
More than half of the children presented chronic diseases. Follow-up of newborn children was the main reason for admitting children with acute conditions. Housing and socioeconomic conditions were poor for a significant number of children. A seasonal pattern was found, with higher activity in the beginning and in the end of the year.
Conclusions:
More efforts are needed to develop complementarity between hospital-based and home health care services, beginning with improved communication of detailed information regarding home health care objectives and conditions.