A5062205961- Mental Health Treatment and Access
- Healthcare Systems and Practices
- Health, Medicine and Society
- Schizophrenia research and treatment
- Chronic Disease Management Strategies
- Primary Care and Health Outcomes
- Psychiatric care and mental health services
- Suicide and Self-Harm Studies
- Digital Mental Health Interventions
- COVID-19 and healthcare impacts
- Healthcare Systems and Reforms
- COVID-19 and Mental Health
- Aging, Elder Care, and Social Issues
- Long-Term Effects of COVID-19
- Bipolar Disorder and Treatment
- Healthcare Policy and Management
- Child and Adolescent Health
- Healthcare Systems and Technology
- Health disparities and outcomes
- Dental Health and Care Utilization
- Healthcare Decision-Making and Restraints
- Telemedicine and Telehealth Implementation
- Health Systems, Economic Evaluations, Quality of Life
- Family Support in Illness
- Dental Education, Practice, Research
Institut de Recherche et de Documentation en Économie de la Santé
2018-2024
Hôpital Robert-Debré
2022-2024
Assistance Publique – Hôpitaux de Paris
2014-2024
Inserm
2014-2023
Université Paris Cité
2014-2023
Evaluation et recherche en services et politiques en santé pour les populations vulnérables
2014-2023
Délégation Paris 7
2014-2018
Sorbonne Paris Cité
2014-2018
Hôtel-Dieu de Paris
2018
Fondation FondaMental
2015-2016
Oral health, coupled with rising awareness on the impact that limited dental care coverage has oral health and general well-being, received increased attention over past few years. The purpose of study was to compare statutory access for adult services in 11 European countries using a vignette approach.We used three patient vignettes highlight differences dimensions (coverage, cost-sharing accessibility). describe typical pathways patients most common conditions (caries, periodontal disease,...
To provide data on the economic burden and health-related quality of life (HRQoL) associated with systemic sclerosis (SSc) in France to raise awareness repercussions this disease for patients caregivers health social care system.A cross-sectional study was carried out 147 recruited through Association des Sclérodermiques de (ASF), French association SSc patients. Data patients' use resources were obtained retrospectively from an online questionnaire costs estimated by a bottom-up approach....
France is one of the European countries hardest hit by Covid-19 pandemic. The pandemic brought into light structural weaknesses health system, including its governance and decision-making process, but also provoked changes that helped to improve resilience. We analyse French experience in 2020 critically reviewing major policy measures implemented during first two waves has struggled find right balance between rock economic social damage caused containment hard alternative a rapidly...
Cancer is one of the main causes death in persons with severe mental illness (SMI). Although their cancer incidence similar, or sometimes even potentially lower compared to general population, mortality remains higher. The role healthcare provision and care equity this increasingly being addressed research, but available studies are limited scope. In context, our aim was compare colorectal (CRC) pathways from screening end-of-life patients without pre-existing SMI on a national scale.
Individuals with severe mental illnesses (SMI) face a striking excess and premature mortality which has been demonstrated in several national contexts. This phenomenon, constitutes red-flag indicator of public health inequities, can be hypothesized to result from healthcare access issues have insufficiently documented so far. In this context, our objective was explore patterns general somatic use individuals treated for SMI comparison those the population France using administrative data...
The excess cancer mortality in persons with severe mental illness (SMI) has been well documented, and research suggests that it may be influenced by care-related factors. Our objective was to assess breast care pathways women SMI France, using an exhaustive population-based data-linkage study a matched case-control design. cases were 1346 incident 2013/2014 preexisting who three controls without presenting similar demographics, initial type, year of incidence. We compared their quality for...
International recommendations for mental health care have advocated a reduction in the length of stay (LOS) full-time hospitalization and development alternatives to hospitalizations (AFTH) could facilitate alignment with those recommendations. Our objective was therefore assess whether AFTH French psychiatric sectors associated LOS hospitalization. Using data from national discharge database care, we computed patients admitted The level estimated by share human resources allocated hospital...
The development of alternatives to full-time hospitalization in psychiatry is limited because consensus about the benefits such lacking. This study assessed whether French psychiatric sectors was associated with a reduction involuntary inpatient care, taking into account other factors that are potentially admission.Data on patient had at least one admission 2012 were extracted from national discharge database for care. estimated as percentage human resources allocated these out all...
This study aimed to estimate the commitment mental health research by European Union (EU) through 7th framework (FP7) and competitiveness innovation (CIP) programmes during 2007-2013 period.Research projects dedicated or partially related were identified using keywords in CORDIS database that inventories all FP7 CIP projects. We then contacted projects' principal investigators access budget breakdown country performed an imputation of distribution funding between countries based on...
Previous studies, mainly originating from North America, suggest that women are less likely than men to obtain professorships in academic medical settings. However, research providing a comprehensive picture of such gender disparities other national contexts and addressing associated contextual factors is lacking.Our objectives were assess differences access settings France, determine their evolution across regions specialties over time, identify the with likelihood professor being woman.We...
Importance Mental disorders among the pediatric population are a major area of public health concern. Little is known regarding changes in hospital resource use related to mental (MH) long after onset COVID-19 pandemic March 2020. Objective To assess rates and trends hospitalizations emergency department (ED) visits MH self-harm (SH) children before during 3 years following onset. Design, Setting, Participants This cross-sectional study used national data. The sample included all MH-...
Involuntary psychiatric care remains controversial. Geographic disparities in its use can challenge the appropriateness of provided when they do not result from different health needs population. These should be reduced through dedicated policies. However, their association with supply and social care, which could targeted by such policies, has been insufficiently studied. Our objectives were therefore to describe geographic variations involuntary admission rates across France identify...
In France, publicly funded mental care services are mostly hospital-based and focused on treating severe illnesses. Mild to moderate disorders typically managed by general practitioners (GP) who often lack specific training treat these conditions. Antidepressant prescribing levels for mild conditions inadequately high. Public reimbursement psychotherapies provided psychologists is generally not available. This paper presents a local experiment with stepped-care approach the treatment of in...
Abstract Background For patients with multiple and complex health needs, such as those suffering from mental disorders, outcomes are determined by the combined actions of care providers they visit their interactions. Care coordination is therefore essential. However, little known on links between hospitals providing psychiatric community-based which could serve a basis for creation formal networks supported recent policies. In this context, we first aimed to identify characterize existing...