Become of Patients From the Permanent Access to Care (PASS) in Cayenne, French Guyana, Suffering From a Chronic Disease (High Blood Pressure - Diabetes) in the Common Law Schemes

Chronic Disease Clinical Trial

— PASSyDroit  

Official title:

Become of Patients From the Permanent Access to Care (PASS) in Cayenne, French Guyana, Suffering From a Chronic Disease (High Blood Pressure - Diabetes) in the Common Law Schemes

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05788731
• Other study ID #: PASSyDroit
• Status: Completed
• Start date: January 18, 2023
• Est. completion date: February 28, 2023

Study information

• Verified date: March 2023
• Source: Centre Hospitalier de Cayenne
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

It is an observational research, conducted at the Cayenne hospital about the future of hypertensive and/or diabetic patients after their follow-up at the Permanent Access to care (PASS). The PASS is a medico-social structure that allows access to medical monitoring and support towards common law. The main objective of the study is to evaluate the use of the common law system by these patients. Then the goal is to study the relationship between integration into the system and socio-demographic, medical characteristics, and understanding of health monitoring. Data will be collected by guided telephone interviews and the review of medical records.

Description:

The problems of social inequalities in access to care are major public health issues as recalled by the Regional Health Agency (ARS) of French Guiana in the Regional Health Project (PRS). French Guiana has high precariousness indicators with half of its population living below the poverty line. In addition, health indicators are often more degraded in precarious populations. Thus, in French Guiana, there is a higher rate of premature mortality, partly attributable to obesity, sedentary lifestyle, diabetes and hypertension than in mainland France. Despite an increased need for follow-up of chronic pathologies, the precarious population faces many difficulties in accessing care. The Permanent Access to Health Care (PASS) in Cayenne is a medico-social system, created to respond to these problems. The PASS allows access to monitoring of chronic diseases and support towards the common law healthcare system. Although the phenomenon of non-use of care studied in the precarious population of western French Guiana seems primarily attributable to the absence of social security. The main objective is to evaluate the use of the common law system in hypertensive or diabetic patients treated at the PASS in Cayenne. In addition, the investigators want to study the relationship between integration into the system and the socio-demographic, medical characteristics, understanding of health monitoring.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 120
• Est. completion date: February 28, 2023
• Est. primary completion date: February 28, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Be 18 years or older
• Past follow-up by the PASS of the Cayenne hospital for at least one chronic pathology identified as follows: hypertension, diabetes.
• The discharge and reorientation to general practitioner have happened between 1 month and 1 year prior to this study.

Exclusion Criteria:

• Patient with a psychiatric condition
• Refusing the study

Related Conditions & MeSH terms

• Chronic Disease
• Hypertension

Locations

Country	Name	City	State
French Guiana	Centre Hospitalier de Cayenne	Cayenne

Sponsors (1)

Lead Sponsor	Collaborator
Centre Hospitalier de Cayenne

Country where clinical trial is conducted

French Guiana, 

References & Publications (1)

Rochemont DR, Lemenager P, Franck Y, Farhasmane A, Sabbah N, Nacher M. The epidemiology of acute coronary syndromes in French Guiana. Ann Cardiol Angeiol (Paris). 2021 Feb;70(1):7-12. doi: 10.1016/j.ancard.2020.09.032. Epub 2020 Oct 14. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	The proportion of patients integrating the common law system	It is collected through telephone interviews while inclusions are carried out.	during inclusion
Secondary	Study the relationship between system integration and socio-demographic, understanding characteristics		during inclusion
Secondary	Study the relationship between system integration and medical, health follow-up		during inclusion
Secondary	Proportion of patients resorting to one or more consultations with a general practitioner.		during inclusion

External Links

•   Kieffer M. PrecASOG : Accès aux soins dans l'Ouest Guyanais : étude des causes de rupture thérapeutique chez les patients précaires atteints de maladie chronique. Université des Antilles; 2022
•   Legendre B. Le renoncement aux soins : un phénomène aux ressorts économiques mais aussi sociaux. Rev Fr Aff Soc. 2021;(3):179-204.
•   Nacher M. santé globale et guyane: étude descriptive et comparative de quelques grands indicateurs / global health and french guiana: a descriptive and comparative study of some major indicators. 24 juin 2019;10.
•   Projet Régional de Santé (PRS) Guyane 2018-2028
•   Samuel A, Vianney C. Les maladies chroniques touchent plus souvent les personnes modestes et réduisent davantage leur espérance de vie | Direction de la recherche, des études, de l'évaluation et des statistiques