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Face aux phénomènes d’engorgement des urgences, les politiques de santé s’orientent aujourd’hui vers une restriction de l’accueil centré sur les pathologies graves. Cependant, pour de nombreuses personnes sans-abri, les urgences de l’hôpital public continuent de représenter une solution pour des besoins de soins ordinaires, d’assistance, voire d’hébergement. L’exemple du patient sans-abri pousse alors à son paroxysme les tensions qui se manifestent dans ces services, tiraillés entre « l’urgence médicale » et « l’urgence sociale ». Au moyen d’une enquête par immersion, cet ouvrage explore les formes de mobilisation des personnels des urgences face à la grande précarité des patients sans-abri. Comment gérer les priorités ? Comment assurer à la fois le soin, l’assistance, le tri des malades, la gestion des flux et la régulation des dépenses hospitalières ? À cet égard, la situation étudiée apparaît emblématique d’un ensemble plus vaste d’exigences en tension, voire en contradiction auquel l’hôpital public est aujourd’hui confronté.

Emergency Medical Services --- Poverty --- Homeless Persons --- Homeless persons --- Hospitals --- Medical personnel and patient --- Sans-abri --- Hôpitaux --- Relations personnel médical-patient. --- Urgence sociale. --- Sans-abri. --- Pauvreté. --- Service hospitalier d'urgences. --- Medical care --- Emergency services --- Soins médicaux. --- Services des urgences --- Aspect social. --- Hôpitaux --- Relations personnel médical-patient. --- Medical care. --- Sociology --- sociologie --- médecine --- santé

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