Rambouillet

Researchers are evaluating the impact of a temporary accommodation program (HTSH) on the length of hospital stays for elderly patients in the Ile-de-France region. This observational, non-interventional study involves multiple hospital departments and nursing home or long-term care units. The program is designed to provide short-term nursing home stays for elderly people discharged from hospital who cannot immediately return home due to their stabilized but complex social or medical situations. The study is supported by the Regional Health Agency of Ile-de-France. The study does not involve investigational drugs or specific interventions but rather observes the medical and social care pathways for elderly patients using HTSH beds. These beds are grouped in dedicated units with specialized staff, funded and maintained by the Regional Health Agency. The program aims to assess whether HTSH improves patient care and facilitates decisions about returning home. Participants will be followed for up to 24 months to measure outcomes including the length of hospital stays in referring services. Data collection includes documentation of consent, evaluation of social and medical care, and follow-up on patients' return home plans. Caregivers and healthcare professionals involved in the HTSH circuit may also participate by providing information through questionnaires. The study observes real-life care processes without altering patient treatment.

Researchers are evaluating how vaccine funding by the National Health Insurance affects vaccination coverage among patients targeted by current vaccination recommendations in outpatient consultations within four healthcare institutions in the Ile-de-France region in France. The study aims to determine if dedicated funding for vaccine procurement can improve vaccination rates for vulnerable patients at risk of infections such as pertussis and pneumococcal disease. It also seeks to understand the influence of socio-economic factors and changes in healthcare providers' practices on vaccination coverage and record-keeping. The study involves providing vaccines funded by the National Health Insurance to patients during outpatient consultations. It targets pneumococcal vaccination for eligible patients aged 18 and older and pertussis vaccination for pregnant women following French recommendations. Questionnaires are completed by both patients and healthcare providers to gather information on vaccination practices and status. The study focuses on patients seen in outpatient consultations at participating institutions and includes pregnant women in maternity wards during and after pregnancy. Participants will be monitored for vaccination status at 3 months and 18 months after vaccine availability to measure coverage rates for pneumococcal and pertussis vaccines. Researchers will use patient and provider questionnaires, digital vaccination records, and hospital software to track vaccinations and assess changes in healthcare practices. The study also examines socio-economic impacts and plans to share findings to potentially expand vaccine funding agreements across healthcare institutions. Participation involves outpatient visits, maternity follow-ups, and data collection over the study period.