Wolff H, Besson M, Holst M, Induni E, Stalder H
Département de médecine, communautaire, HUG, 1211 Genève 14.
Rev Med Suisse. 2005 Sep 28;1(34):2218-22.
Health care professionals are in contact with patients of all social horizons. Healthcare professionals come into contact with patients from all social backgrounds. Low socio-economic status is a well-known determinant of morbidity and mortality. A mobile community health care unit ("Umsco") was created in Geneva in 1996 with the aim of providing health care to very low-income patients who aren't catered for by the traditional healthcare system in Switzerland. The Mobile Unit's patients are mainly female South American illegal immigrants, but also the city' homeless. This article explains how the Unit functions on a day-to-day basis. We describe socio-demographic characteristics of the patients and their main presenting complaints. We also discuss how health care professionals in general can adapt to the specific needs of socially deprived and vulnerable patients.
医疗保健专业人员会接触到来自各种社会层面的患者。医疗保健专业人员会与来自各种社会背景的患者接触。社会经济地位低下是发病率和死亡率的一个众所周知的决定因素。1996年在日内瓦设立了一个流动社区医疗单位（“Umsco”），旨在为瑞士传统医疗系统未覆盖的极低收入患者提供医疗服务。流动单位的患者主要是南美洲女性非法移民，也有该市的无家可归者。本文解释了该单位的日常运作方式。我们描述了患者的社会人口特征及其主要就诊主诉。我们还讨论了一般医疗保健专业人员如何适应社会贫困和弱势患者的特殊需求。
