Healthcare Renunciation During the Confinement Period in Connection With the COVID-19 Epidemic in Adult Emergency Departments

NCT04460196 | Completed

• 1 other identifier: 49RC20_0155
• Study Type: observational
• Target: 900
• Locations: 1 country
• Sites: 2

Brief Summary

Healthcare renunciation is defined as: "Individuals give up care when they do not seek services and health care professionals when they experience a disorder, experience a physical or mental disorder, or when they do not access all of the prescribed care." In 2008, 16.5% of the general French population reported having renounced care. The causes mentioned of the renunciation are mainly the financial difficulties, the deadlines of appointments considered too long, the geographical remoteness. In the department of Sarthe, the rate of cessation of care is estimated at 27.6% over the period from 2014 to 2017. In the context of the COVID-19 epidemic, containment was applied in France counted from 17 March 2020. The widespread message was "save lives, stay at home". The Ministry of Solidarity and Health has provided health professionals with a circular to adapt the management of patients with chronic disease, requiring elective surgical care and pregnant women. The decline in activity of general practitioners is estimated at 44% and that of other specialists at 71%. In Paris, visits to the emergency room fell by 45% for adults and 70% for children. The main risk is the deterioration of the health status of some patients with the worsening of chronic diseases, the discovery of pathologies during episodes of decompensation and the absence of management of serious acute pathologies. The study aims to assess the importance of giving up care during this period of COVID-19 and in comparison with a study conducted at the University Hospital of Angers and the hospital of Le Mans in 2017.

Conditions

Emergency Medicine

Outcome Measures

Primary Outcomes (1)

• rate of patients who gave up consulting in the emergency department

  1 day

Interventions

survey OTHER

Each admitted patient will complete a questionnaire

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Person unable to give a non-opposition

You may qualify if:

• All adults patients consulting in the emergency department and agreeing to answer the questionnaire

You may not qualify if:

• Patient admitted in the emergency department in serious condition (life distress)
• Person unable to consent

Sponsors & Collaborators

• University Hospital, Angers: lead

Study Sites (2)

CHU Angers

Angers, France

Location

CH Le Mans

Le Mans, France

Location

MeSH Terms

Interventions

Surveys and Questionnaires

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 1 Day
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 6, 2020
• First Posted: July 7, 2020
• Study Start: July 8, 2020
• Primary Completion: September 18, 2020
• Study Completion: September 18, 2020
• Last Updated: September 23, 2020

Record last verified: 2020-07

Locations

FR (2)