Prospective, observational, non-interventional, comparative, multicenter RIPH3 study to investigate the impact of HTSH on length of hospital stay in referring services.

This is a multi-center study involving many hospital departments temporary accommodation at the end of hospitalization in several Nursing home/long term care units in Ile de France region. The temporary accommodation program was designed for elderly people living at home to find an accommodation solution in nursing home to meet a short-term need. Temporary accommodation beds are deployed and perpetuated in the Île-de-France region by the Regional Health Agency, physically grouped together in establishments within units with dedicated staff. The resources allocated to these beds have been increased. The aim of the study is to demonstrate the efficiency of the HTSH circuit, for elderly patients leaving hospital, in their medical and social care and the decision or not to return home. This project is supported by Regional Health Agency (ARS-IDF).

• Inclusion Criteria:

  1. Patient selection criteria

     • Patient male or female at least 60 years of age, as initially defined with the Regional Health Agency, discharged from hospital,
     • Oral expression of non opposition to participation in the study, documented in the medical record by the physician,
     • Presenting a defined and feasible plan for returning home,
     • Whose social/medical situation (stabilized) does not allow an immediate return home after hospitalization.

  2. Caregiver selection criteria

     • Person with an unpaid caregiving activity for their relative in HTSH,
     • Person verbally expressing their non-opposition to participating in the study, and documented in the medical record of the patient they are helping,
     • A person who is able to understand the study questionnaires and evaluations, and is able to answer them without the help of a third party.

  3. Professional selection criteria

     • Salaried professional, nursing or not, regularly and directly involved in the HTSH circuit, whether in hospital or in nursing home / long term care units, for at least 6 months,
     • Oral expression of non opposition to participation in the study, documented by the establishment.

• Non-inclusion Criteria:

  • Be already included in another clinical study,
  • Benefit from a legal protection measure or be unable to express their consent, in accordance with article L1121-8 of the French Public Health Code.

258 subjects in the prospective group. Retrospective data will be collected directly from hospital departments by ARS IDF or from physicians responsible for medical information (RMI) within each hospital center participating in the study, for the 2 years 2021 and 2022 prior to the study and compared with the average length of stay for services to be calculated at the end of the study.