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Underserved Patients Don't Consult Their GP for Depression

´╗┐Underserved Patients Don't Consult Their GP for Depression

Background


In France, the prevalence of depression in the general population is estimated at between 5 and 12% and is significantly higher in underserved populations. The perceptions of this disease and its treatments, the social factors associated with these perceptions and their impact on adherence to care and therapeutic compliance have been widely described in the international literature. However, few studies have examined the factors associated with seeking medical care for depression or the obstacles that could explain the non-seeking of such care, especially in the most vulnerable populations. In France in particular, no research has been carried out to determine the reasons for not seeking primary care during a depressive episode. To investigate this matter, we decided to carry out a two-phase study by conducting a qualitative survey in the general population then a quantitative survey at the Baudelaire Outpatient Clinic at the Saint-Antoine Hospital in Paris. This clinic provides free health and social care to people in precarious situations (mainly individuals with no health insurance, undocumented individuals and/or individuals who are too poor to consult a general practitioner (GP) in the usual health-care system). At or through this clinic, patients can consult a GP or a specialist, obtain social care and free medications, avail themselves of the hospital's technical services, and be hospitalized, if necessary. Our ultimate objective was to determine the reasons for not seeking primary care during a depressive episode in this vulnerable patient population.



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