Le repérage des patients en situation de précarité par les médecins généralistes

Abstract

This study aims to assess concordance between detection of the precariousness spontaneously carried out by the general practitioners and a scoring assessment by the EPICES score (developed and validated in the centers of health examinations).Thirty-two general practitioners allowed to include 207 patients in the study. Cohen’s Kappa concordance coefficient was 0.404, i.e. a low to moderate correlation.The study of the variables associated with the concordance of both assessments did not show any variable significantly associated with concordance after mutlivariate analysis.To conclude, the identification of precariousness by general practitioners remains difficult, which is consistent with the qualitative data from previous studies.

Keywords

• precariousness
• social derterminants of heatlh
• general practitionners
• primary healthcare