Peslin N, Pasquier V, Plaçais C, Coutant A, Agard C, Barrier J, Lombrail P
PIMESP CHU de Nantes.
Sante Publique. 2001 Dec;13(4):349-57.
Considering the consequences of social instability within the health care system has become a public health priority. Each public hospital center in France is obliged to create a unit for welcoming impoverished and vulnerable people (Permanently Maintained Health Care Facilities). The university hospital in Nantes opened a socio-medical out-patient consultation service in November 1999 with the main objective being to bring these patients back into the usual ambulatory care system. The evaluation of the first few months of its operation reveals that one out of every two patients is a young person with a low-income and without any social protection. The possibilities of reorientation towards the regular care system are discussed.
认识到医疗保健系统内社会不稳定的后果已成为一项公共卫生重点。法国的每个公立医院中心都必须设立一个接待贫困和弱势群体的科室（长期维持的医疗保健设施）。南特大学医院于1999年11月开设了一项社会医疗门诊咨询服务，其主要目标是让这些患者重新回到常规的门诊医疗体系。对其运营头几个月的评估显示，每两名患者中就有一名是低收入且没有任何社会保护的年轻人。文中还讨论了转向常规护理系统的可能性。
