Rambouillet

Researchers are evaluating the impact of a temporary accommodation program called HTSH on elderly patients length of stay in hospital services. This observational, multicenter study involves elderly patients discharged from hospitals in the Ile-de-France region who require short-term accommodation in nursing homes or long-term care units. The study aims to assess how this program supports medical and social care and influences decisions about returning home after hospitalization. The study includes a prospective group of 258 subjects and a retrospective group using data from 2021 and 2022. Temporary accommodation beds are provided in dedicated units with specialized staff, physically grouped within establishments supported by the Regional Health Agency. The study compares hospital stay lengths before and after the programs implementation to evaluate its efficiency. Participants will be observed over 24 months with data collected on hospital stay length, patient pathways, profiles, discharge outcomes, quality of life, and caregiver benefits. Medical records and social evaluations are reviewed, and caregivers and professionals involved in the HTSH circuit may also participate. This non-interventional study monitors outcomes without changing usual care, with no specified maximum age and no healthy volunteers included.

Researchers are evaluating the impact of vaccine funding provided by the National Health Insurance on vaccination coverage among patients targeted by current vaccination recommendations. The study focuses on patients seen in outpatient consultations within four healthcare institutions in the Ile-de-France region in France. The project aims to determine if dedicated vaccine funding can improve vaccination rates for vulnerable patients at risk of infections, such as pregnant women for pertussis and eligible patients for pneumococcal vaccination. The study involves several groups including women in the immediate postpartum period, patients eligible for pneumococcal vaccination with specific health coverage, and healthcare providers involved in vaccination efforts. Questionnaires will be used to collect information from patients and healthcare providers. The study will assess vaccination coverage for pertussis and pneumococcal infections at 3 and 18 months, along with evaluating socio-economic factors, changes in healthcare professional practices, and improvements in communication about vaccination status using digital tools. Participants will be monitored through outpatient consultation records and questionnaires. Researchers will measure the number of vaccinated individuals, factors influencing vaccination, and the frequency of vaccination offers and administration by healthcare providers. The study will also observe changes in documentation practices to enhance communication between institutions and primary care. The research is expected to run until July 2027, with a focus on improving vaccine reimbursement and coverage policies based on findings.