The ABC of primary care for university students: a 3-step structured approach at Geneva University Hospitals

Article Article scientifique Article The ABC of primary care for university students: a 3-step structured approach at Geneva University Hospitals eng 2021 author Pernin Thomas 877142 author Dominice Dao Mélissa 81162 author Cheval Boris 0000-0002-6236-4673 812669 author Courvoisier Delphine 0000-0002-1956-2607 94475 author Haller Dagmar M. 0000-0003-1781-3318 549986 author Narring Françoise 628964 author Farinelli Ebengo Tiziana 30003 author Gaspoz Jean-Michel 126367 author Jackson Yves-Laurent Julien 0000-0001-5619-333X 83989 author Guessous Idris 760565 10.1007/s42399-021-00926-z 2523-8973 https://link.springer.com/10.1007/s42399-021-00926-z University and college students present specific health issues with vulnerabilities related to mental health and sexual health, risk-taking behaviors, and delayed access to primary care. A new student outpatient clinic was created in September 2016 at Geneva University Hospitals to respond to the health needs of this population. We present here the clinical management framework developed for a primary care consultation with students. A 3-step approach (ABC) was designed by expert consensus using different sources. A post-consultation satisfaction survey was conducted among students attending the clinic. The approach proposed 3 steps comprising general information, social evaluation, and preventive care. The importance of offering modern means of communication (online appointments, email exchanges with clinicians) was emphasized by experts. The question of cultural identity and connectedness was also addressed, especially for international students or those coming from a different Swiss region. In November 2018, a survey conducted among 128 patients out of 449 consultations showed that 94.5% agreed or totally agreed to recommend the consultation to fellow students, and 89% considered that care providers adequately addressed their specific student-related issues. A specific approach is needed in primary care for university/college students requiring particular competences across several domains. Our findings suggest that our approach is effective to cover the main health challenges faced by students. A comparison of the outcomes of this novel 3-step primary care consultation approach with non-structured approaches should be evaluated in future studies, including clinician's satisfaction, elements of patient's participation to governance, and medico-economic aspects. Students Young adults College University Primary care General practice Internal general medicine Health Switzerland Geneva ABC Dewey 128.37 Dewey 613 Dewey 618 58 Département de pédiatrie, gynécologie et obstétrique 223 219 Institut universitaire de médecine de famille et de l'enfance 22A93 15 Centre interfacultaire en sciences affectives 0D8 false 1241 Affective sciences 958 Médecine interne générale et pédiatrie ambulatoires 968 SN Comprehensive Clinical Medicine 753ef0f7-07dc-4f92-8b18-072937633535 Article (Published version) Public Pernin2021_Article_TheABCOfPrimaryCareForUniversityStudent.pdf 928901 application/pdf CC BY openAccess Faculté de médecine / Section de médecine clinique / Département de pédiatrie, gynécologie et obstétrique Faculté de médecine / Section de médecine clinique / Département de santé et médecine communautaires / Institut de médecine de premier recours / Institut universitaire de médecine de famille et de l'enfance Centres et instituts / Centre interfacultaire en sciences affectives

Title	Published in	Access level	OA Policy	Year	Views	Downloads

The ABC of primary care for university students: a 3-step structured approach at Geneva University Hospitals	SN Comprehensive Clinical Medicine			2021	394	351

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Pernin, Thomas