Migration experiences, life conditions, and drug use practices of Russian-speaking drug users who live in Paris: a mixed-method analysis from the ANRS-Coquelicot study.

Background: After the collapse of the Soviet Union at the beginning of the 1990s, people who inject drugs spiked in Eastern Europe. Facing local repression and an array of factors encouraging emigration, some users have migrated to France. This population now make up to a third of the patient list of some harm reduction services in Paris.

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Introduction: According to the French National Institute of Health and Medical Research (INSERM), 12% of children and youth living in France (one in eight) suffer from mental disorders. However, the conditions for this population to use mental health services remain poorly explored.Purpose of research: Our aim was to provide a double-statistical and discursive-perspective on the orientation of this population towards public child psychiatry centers (socio-demographic profile, actors who made the requests, reasons for first consultations, difficulties and disorders qualification by parents…).

The cost of treating high blood pressure in general practice in France.

In this study, the cost of having high blood pressure treated by French general practitioners was estimated, using an analysis of the computerized records for 28,015 patients with either hypertension or history of hypertension over three years. Costs due to visits, drugs, and complementary tests were included. The average annual cost of treatment was 597 euros (SD 377 euros).

Determinants of resource utilization in four palliative care units.

Objective: To assess resources mobilized per day and per patient receiving palliative care (PC) and to explain the observed cost variability.

Study Setting: We conducted a prospective study in four French PC units.

Study Design/data Collection: For each patient, socio-demographic and medical data were collected (using a case-report form developed specifically for this purpose) and a daily cost for the provision of care was estimated.

Developing an operational typology of patients hospitalised in palliative care units.

The objective of this study was to develop an operational typology of patients hospitalised in palliative care units (PC units) and to characterize these populations. Prospective data were collected in four PC units over three-week periods, generating a sample of 139 cases. Five classes of patient were identified and described via a factorial analysis and a classification: metastatic cancers requiring significant psychological attention, terminally ill patients, ENT cancers, neurological diseases and elderly patients.