Relying on the French territorial offer of thermal spa therapies to build a care pathway for long COVID-19 patients
Milhan Chaze
(1, 2)
,
Laurent Mériade
(1, 2)
,
Corinne Rochette
(1, 2)
,
Mélina Bailly
(3, 4)
,
Rea Bingula
(5, 6)
,
Christelle Blavignac
(7)
,
Martine Duclos
(6, 8)
,
Bertrand Evrard
(5, 6)
,
Anne Cécile Fournier
(9)
,
Lena Pelissier
(4, 3)
,
David Thivel
(4, 3)
1
S&T -
chaire Santé et Territoires
2 CleRMa - Clermont Recherche Management
3 CRNH A - Centre de Recherche en Nutrition Humaine Auvergne [CHU Clermont-Ferrand]
4 AME2P - Laboratoire des Adaptations Métaboliques à l'Exercice en Conditions Physiologiques et Pathologiques
5 Service d'Immunologie [CHU Clermont-Ferrand]
6 UNH - Unité de Nutrition Humaine
7 CICS - Centre Imagerie Cellulaire Santé
8 Service Médecine du Sport et Explorations Fonctionnelles [CHU Clermont-Ferrand]
9 Innovatherm
2 CleRMa - Clermont Recherche Management
3 CRNH A - Centre de Recherche en Nutrition Humaine Auvergne [CHU Clermont-Ferrand]
4 AME2P - Laboratoire des Adaptations Métaboliques à l'Exercice en Conditions Physiologiques et Pathologiques
5 Service d'Immunologie [CHU Clermont-Ferrand]
6 UNH - Unité de Nutrition Humaine
7 CICS - Centre Imagerie Cellulaire Santé
8 Service Médecine du Sport et Explorations Fonctionnelles [CHU Clermont-Ferrand]
9 Innovatherm
Laurent Mériade
- Fonction : Auteur
- PersonId : 13467
- IdHAL : laurent-meriade
- ORCID : 0000-0002-2656-9866
- IdRef : 154343463
Rea Bingula
- Fonction : Auteur
- PersonId : 1237984
- ORCID : 0000-0002-7782-7538
Martine Duclos
- Fonction : Auteur
- PersonId : 765699
- IdHAL : martine-duclos
- ORCID : 0000-0002-7158-386X
Résumé
Background Work on long COVID-19 has mainly focused on clinical care in hospitals. Thermal spa therapies represent a therapeutic offer outside of health care institutions that are nationally or even internationally attractive. Unlike local care (hospital care, general medicine, para-medical care), their integration in the care pathways of long COVID-19 patients seems little studied. The aim of this article is to determine what place french thermal spa therapies can take in the care pathway of long COVID-19 patients. Methods Based on the case of France, we carry out a geographic mapping analysis of the potential care pathways for long COVID-19 patients by cross-referencing, over the period 2020–2022, the available official data on COVID-19 contamination, hospitalisations in intensive care units and the national offer of spa treatments. This first analysis allows us, by using the method for evaluating the attractiveness of an area defined by David Huff, to evaluate the accessibility of each French department to thermal spas. Results Using dynamic geographical mapping, this study describes two essential criteria for the integration of the thermal spa therapies offer in the care pathways of long COVID-19 patients (attractiveness of spa areas and accessibility to thermal spas) and three fundamental elements for the success of these pathways (continuity of the care pathways; clinical collaborations; adaptation of the financing modalities to each patient). Using a spatial attractiveness method, we make this type of geographical analysis more dynamic by showing the extent to which a thermal spa is accessible to long COVID-19 patients. Conclusion Based on the example of the French spa offer, this study makes it possible to place the care pathways of long COVID-19 patients in a wider area (at least national), rather than limiting them to clinical and local management in a hospital setting. The identification and operationalization of two geographical criteria for integrating a type of treatment such as a spa cure into a care pathway contributes to a finer conceptualization of the construction of healthcare pathways.
Format du dépôt | Fichier |
---|---|
Type de dépôt | Article dans une revue |
Résumé |
en
Background Work on long COVID-19 has mainly focused on clinical care in hospitals. Thermal spa therapies represent a therapeutic offer outside of health care institutions that are nationally or even internationally attractive. Unlike local care (hospital care, general medicine, para-medical care), their integration in the care pathways of long COVID-19 patients seems little studied. The aim of this article is to determine what place french thermal spa therapies can take in the care pathway of long COVID-19 patients. Methods Based on the case of France, we carry out a geographic mapping analysis of the potential care pathways for long COVID-19 patients by cross-referencing, over the period 2020–2022, the available official data on COVID-19 contamination, hospitalisations in intensive care units and the national offer of spa treatments. This first analysis allows us, by using the method for evaluating the attractiveness of an area defined by David Huff, to evaluate the accessibility of each French department to thermal spas. Results Using dynamic geographical mapping, this study describes two essential criteria for the integration of the thermal spa therapies offer in the care pathways of long COVID-19 patients (attractiveness of spa areas and accessibility to thermal spas) and three fundamental elements for the success of these pathways (continuity of the care pathways; clinical collaborations; adaptation of the financing modalities to each patient). Using a spatial attractiveness method, we make this type of geographical analysis more dynamic by showing the extent to which a thermal spa is accessible to long COVID-19 patients. Conclusion Based on the example of the French spa offer, this study makes it possible to place the care pathways of long COVID-19 patients in a wider area (at least national), rather than limiting them to clinical and local management in a hospital setting. The identification and operationalization of two geographical criteria for integrating a type of treatment such as a spa cure into a care pathway contributes to a finer conceptualization of the construction of healthcare pathways.
|
Titre |
en
Relying on the French territorial offer of thermal spa therapies to build a care pathway for long COVID-19 patients
|
Auteur(s) |
Milhan Chaze
1, 2
, Laurent Mériade
1, 2
, Corinne Rochette
1, 2
, Mélina Bailly
3, 4
, Rea Bingula
5, 6
, Christelle Blavignac
7
, Martine Duclos
6, 8
, Bertrand Evrard
5, 6
, Anne Cécile Fournier
9
, Lena Pelissier
4, 3
, David Thivel
4, 3
1
S&T -
chaire Santé et Territoires
( 1065042 )
- IAE CLERMONT AUVERGNE
11 Bld François Mitterrand
63 000 CLERMONT FERRAND
- France
2
CleRMa -
Clermont Recherche Management
( 1063734 )
- École Universitaire de Management, 11 boulevard Charles de Gaulle, 63000 Clermont-Ferrand
- France
3
CRNH A -
Centre de Recherche en Nutrition Humaine Auvergne [CHU Clermont-Ferrand]
( 1082754 )
- CHU Clermont-Ferrand - Site Gabriel-Montpied, 58 Rue Montalembert, 63000 Clermont-Ferrand
- France
4
AME2P -
Laboratoire des Adaptations Métaboliques à l'Exercice en Conditions Physiologiques et Pathologiques
( 1063684 )
- 3 rue de la Chebarde, TSA 30104 - CS 60026, 63178 Aubière Cedex
- France
5
Service d'Immunologie [CHU Clermont-Ferrand]
( 226420 )
- CHU Clermont-Ferrand - Site Gabriel-Montpied, 58 Rue Montalembert, 63000 Clermont-Ferrand
- France
6
UNH -
Unité de Nutrition Humaine
( 1063683 )
- Site INRAE Theix : 63122 Saint-Gènes-Champanelle // Site Clermont : UFR de Médecine et de Pharmacie, TSA 50400, 28 Place Henri Dunant, 63001 Clermont-Ferrand
- France
7
CICS -
Centre Imagerie Cellulaire Santé
( 159954 )
- Facultés de Médecine et de Pharmacie, 28 place Henri Dunant, BP 38, 63001 Clermont-Ferrand cedex
- France
8
Service Médecine du Sport et Explorations Fonctionnelles [CHU Clermont-Ferrand]
( 1056498 )
- CHU Clermont-Ferrand - Site Estaing, 1 Rue Lucie et Raymond Aubrac, 63100 Clermont-Ferrand
CHU Clermont-Ferrand - Site Gabriel-Montpied, 58 Rue Montalembert, 63000 Clermont-Ferrand
- France
9
Innovatherm
( 1197846 )
- France
|
Langue du document |
Anglais
|
Nom de la revue |
|
Date de publication |
2024-04-19
|
Volume |
19
|
Numéro |
4
|
Page/Identifiant |
e0302392
|
Vulgarisation |
Non
|
Comité de lecture |
Oui
|
Date de publication électronique |
2024-04-19
|
Audience |
Internationale
|
Licence |
Paternité
|
Projet(s) Européen(s) |
|
Financement |
|
Mots-clés (Mesh) |
|
Domaine(s) |
|
DOI | 10.1371/journal.pone.0302392 |
Pubmed Id | 38640090 |
PubMed Central | PMC11029631 |
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