Pierre-Henri Bréchat

Parturientes accouchant par voie basse, handicaps sociaux et durée de séjour : étude pilote au groupe hospitalier Lariboisière-Fernand-Widal de Paris

OBJECTIVESnWould a social handicap questionnaire with French DRG (PMSI) make it possible to know social disability parturients vaginal childbirth in a public health loss of revenue by increasing the average length of stay during the hospitalization of patients precarious?nnnPATIENTS AND METHODSnThe questionnaire of the social handicap consisted of 14 indicators associated to classify at the admission each patient in three categories of social handicap.nnnRESULTSnThe administration of a questionnaire of social handicap was carried out for 127 women giving birth by low way. Three quarters of the studied population have a strong social handicap and 18% present a means of it. The more social handicapped patients do not represent an additional cost for the establishment in terms of supplementary day of hospitalization.nnnCONCLUSIONnFrench DRG (PMSI) and indicators of precariousness can be used to locate the patient having social handicap. The consistency of the public action between the medical one and the social one are questioned.