[Week-long hospitalization in a Department of Internal Medicine: patients and care patterns. Description and comparison with standard hospitalization].
OBJECTIVE
The objective of this study was to determine the inpatient and care pathway predictive factors of week hospitalization (week-end excluded = HDS) compared to classical short term hospitalization (HC).


METHODS
We compared 340 HDS stays to 65 HC stays. We analyzed the major in-patient sociodemographic and medical characteristics, and their care pathways.


RESULTS
HDS inpatients were younger, more living in couples, had a higher educational level, better social insurance, more cancer, less associated diagnosis, less general health impairment than HC in-patients. More chemotherapies and endoscopies were performed in HDS. Hospital physicians were more often involved in HDS admissions than in HC admissions and general practitioners were more often involved in outpatient hospital visits for advice before HDS hospitalization than before HC hospitalization. HDS hospitalizations per in-patient were more numerous than HC hospitalizations. HDS inpatients were discharged directly to their home more often. After logistic regression modeling, most of these factors remained independently associated with HDS hospitalization, except for sociodemographic characteristics, age excluded, admission rates and home discharge.


CONCLUSIONS
Type of hospitalization (HDS vs. HC) was mainly determined by medical characteristics of patients and by care pathways. Limiting factors were mainly due to organization of care.
Delamare
N
N
Département de Santé Publique, Faculté de Médecine Cochin Port-Royal, Université René Descartes-Paris.
Vidal-Trécan
G
G
Christoforov
B
B
D003631:Day Care, Medical; D003695:Delivery of Health Care; D005260:Female; D005602:France; D006760:Hospitalization; D006801:Humans; D007388:Internal Medicine; D007902:Length of Stay; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires
L'hospitalisation de semaine dans un service de Médecine Interne: service de Médecine Interne : patients et filières de soins. Description et comparaison à l'hospitalisation classique.