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Les conséquences des besoins de soins non satisfaits pendant la pandémie de Covid-19 sur la fragilité des personnes de 50 ans et plus

Author

Listed:
  • Julien Bergeot

    (Legos - Laboratoire d'Economie et de Gestion des Organisations de Santé - Université Paris Dauphine-PSL - PSL - Université Paris Sciences et Lettres, LEDa - Laboratoire d'Economie de Dauphine - IRD - Institut de Recherche pour le Développement - Université Paris Dauphine-PSL - PSL - Université Paris Sciences et Lettres - CNRS - Centre National de la Recherche Scientifique)

  • Florence Jusot

    (Legos - Laboratoire d'Economie et de Gestion des Organisations de Santé - Université Paris Dauphine-PSL - PSL - Université Paris Sciences et Lettres, LEDa - Laboratoire d'Economie de Dauphine - IRD - Institut de Recherche pour le Développement - Université Paris Dauphine-PSL - PSL - Université Paris Sciences et Lettres - CNRS - Centre National de la Recherche Scientifique, IRDES - Institut de Recherche et Documentation en Economie de la Santé - Université Paris Dauphine-PSL - PSL - Université Paris Sciences et Lettres)

Abstract

La pandémie de Covid-19 a conduit à une restriction soudaine de l'accès aux soins susceptible d'accélérer le processus de fragilisation des personnes les plus âgées. Ainsi, au-delà de l'impact immédiat de la crise sanitaire, le report, l'annulation ou le non-usage des soins aux pics de l'épidémie ont pu avoir des conséquences à moyen terme dans la population. En s'appuyant sur plusieurs vagues de l'enquête SHARE (Survey of Health, Ageing and Retirement in Europe), conduites à la fois avant et pendant les vagues épidémiques, ce travail permet de mesurer l'impact causal des besoins de soins non satisfaits pendant la pandémie, selon leurs causes (report et annulation de soins, refus de soins, non-recours à des soins en raison de la peur de la contamination) et le type de soins concernés (soins de généraliste, de spécialiste, soins paramédicaux, soins techniques planifiés). Cet impact en termes de santé est évalué un an après la première vague pandémique, à l'été 2021 dans la population européenne âgée de 50 ans et plus, par la survenue de différents évènements indésirables et de symptômes qui révèlent un processus de fragilisation à l'oeuvre : fatigue, chutes, peur de chuter, étourdissements et malaises. Les analyses établissent les effets négatifs des besoins de soins non satisfaits sur plusieurs dimensions de la santé, en augmentant notamment la probabilité de fatigue et la crainte des chutes un an plus tard chez les 50 ans et plus. Ces sont les besoins non satisfaits en soins de généraliste et de spécialiste qui ont l'impact le plus significatif. Les reports des soins de spécialistes sont particulièrement liés à une hausse de la peur de chuter et le non-recours aux soins par peur de la contamination explique une part importante des effets observés sur la fatigue. Ce travail démontre que les perturbations dans l'accès aux soins durant la pandémie ont eu des effets délétères persistants sur la santé des personnes âgées, susceptibles d'accélérer la fragilisation et la perte d'autonomie. Cela souligne l'importance de garantir la continuité des soins, y compris en période de crise sanitaire, et de maintenir la confiance des populations âgées dans le système de santé afin de limiter la dégradation du capital santé à moyen et long terme.

Suggested Citation

  • Julien Bergeot & Florence Jusot, 2024. "Les conséquences des besoins de soins non satisfaits pendant la pandémie de Covid-19 sur la fragilité des personnes de 50 ans et plus," Post-Print hal-05426513, HAL.
    • Handle: RePEc:hal:journl:hal-05426513
    Note: View the original document on HAL open archive server: https://univ-paris-dauphine.hal.science/hal-05426513v1
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    References listed on IDEAS

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