title: [Balance sheet of CETRADIM after 10 years of functioning as an alternative to hospitalization].
abstract: CETRADIM (Educational Centre for the Treatment of Diabetes and Nutritional Diseases) is a hospital department of the Roubaix (France) general hospital functioning uniquely as an alternative to conventional hospital care (outpatient clinics, day hospital, weekday hospital). Its catchment area is essentially local, covering a population of about 200,000. Its vocation is triple: care (including education), training and the supply of information to the treating team and general public. The aim of this study was to evaluate the effect of the existence of a unit of this kind on the frequency of admission of patients for conventional hospital care to the various medical departments of the Roubaix hospital. The indicator used was the percentage of conventional hospitalisation (PCH) in the Endocrinology/Diabetology/Nutrition department, calculated by dividing the number of conventional hospital stay in this specialty by the total number of hospital stay days. Data were obtained for the Roubaix hospital and for 3 hospitals in the Northern region serving comparable types of population but lacking any institution functioning totally as an alternative to hospital care. The PCH was 4.3% for the Roubaix Hospital Centre and 8.2, 8.46 and 10.6% respectively for the other three hospitals. These findings suggest that the existence of an institution such as CETRADIM reduces the number of conventional hospital stay days of patients with Endocrine/Diabetes/Nutrition diseases. Its effects on the constitution of new local care units is discussed, and arguments in favour of its role in the improvement of health care and education costs developed.
authors.affiliation: CETRADIM, Roubaix, France.
authors.forename: J L
authors.initials: JL
authors.lastname: Grenier
authors.forename: M
authors.initials: M
authors.lastname: Qafli
authors.forename: P
authors.initials: P
authors.lastname: Gross
mesh_terms: D003920:Diabetes Mellitus / Q000191:economics / Q000534:rehabilitation*; D004496:Education, Continuing; D005602:France; D006757:Hospital Units; D006769:Hospitals, General; D006801:Humans; D007902:Length of Stay; D008659:Metabolic Diseases / Q000191:economics / Q000534:rehabilitation*; D010348:Patient Care Team; D010353:Patient Education as Topic / Q000191:economics; D010564:Personnel, Hospital / Q000193:education
vernacular_title: Bilan du CETRADIM après 10 ans de fonctionnement en alternative a l'hospitalisation.