PLoS ONE (Jan 2023)

Social deprivation and the use of healthcare services over one year by children less than 18 years of age in 2018: A French nationwide observational study.

  • Jeanne Pergeline,
  • Sébastien Rivière,
  • Sylvie Rey,
  • Jeanne Fresson,
  • Antoine Rachas,
  • Philippe Tuppin

DOI
https://doi.org/10.1371/journal.pone.0285467
Journal volume & issue
Vol. 18, no. 5
p. e0285467

Abstract

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This study aimed to describe the health status of children and how social deprivation affects their use of healthcare services and mortality. Children living in mainland France were selected from the national health data system (SNDS) on their date of birth or birthday in 2018 ( 1 night (rQ5/Q1 = 1.44). Psychiatric hospitalization was more frequent for children with CMUc (rCMUc/Not = 3.5, 0.7% vs 0.2%). Higher mortality was observed for deprived children < 18 years (rQ5/Q1 = 1.59). Our results show a lower use of pediatricians, other specialists, and dentists among deprived children that may be due, in part, to an insufficient supply of care in their area of residence. These results have been used to recommend optimization and specifically adapted individual or area-wide policies on the use of healthcare services, their density, and activities.