Renouncing care in French Guiana: the national health barometer survey.
Astrid Van MelleClaire CropetMarie-Claire ParriaultLeila AdriouchHélène LamaisonFrancine SassonHélène DuplanJean-Baptiste RichardMathieu NacherPublished in: BMC health services research (2019)
Renouncing for financial reasons, a major target of the 2016 health law, represented a public health problem in French Guiana. Renouncing for lack of time was an important motive for renouncing, which is aggravated by the insufficient number of health professionals, but may benefit from organizational solutions. There are avenues for improvement of health for the most vulnerable: promote health, act on risk factors, and facilitate the readability and accessibility of the health system. Recent reforms to stabilize health insurance may however have some adverse consequences for migrants.