LAUSR

Introduction/Background In France, many people with disabilities have difficulties with primary care access, particularly dental and gynecological consultations. These difficulties are various: inaccessibility of the premises, maladapted materials, and insufficient time of consultation, communication difficulties or patients’ behaviors. Among the possible solutions, National Health Authorities have promoted the creation of consultations dedicated to people with disabilities (1). PROPARA center was selected as part of a call for projects to set up such a consultation center. Material and method PROPARA Center chose to develop an original consultation unit by with a wide range of medical disciplines covered (radiology–ultrasound, dental care, OB/Gyn, ophthalmology, ENT.). The other characteristic of Handiconsult34 is its economic model with the establishment of a multidisciplinary consultation unit within an ESPIC rehabilitation center. Results The project developed in partnership with scientific and medical societies on the one hand and university hospitals on the other hand refines the three level of access to care: level 1: primary care; level 2: handiconsult34 and level 3: University Hospital. At the end of 2017, a first dedicated imaging consultation was inaugurated, followed in early 2018 by the installation of a complete dental consultation room, followed by Ob/Gyn and ENT consultations. An ophthalmological consultation and consultation of complex situations of failure of access to care will complete the system by 2019. Conclusion The progressive development of the project and its opening in the Herault department must enable to meet its dual objective: to offer access to care for persons with disabilities as well as being a resource for local healthcare professionals.