WEEK HOSPITALIZATION IN A DEPARTMENT OF I NTERNAL-MEDICINE - INPATIENTS AND CARE PATHWAYS - DESCRIPTION, COMPARING WITH CLASSICAL HOSPITALIZATION

Objectives. - The objective of this study was to determine the inpatie nt and care pathway predictive factors of week hospitalization (meek-e nd excluded = HDS) compared to classical short term hospitalization (H C), Methods. - We compared 340 HDS stays to 65 HC stays, We analyzed t he major in-patient sociodemographic and medical characteristics, and their care pathways.Results. - HDS inpatients mere younger, more livin g in couples, had a higher educational level, better social insurance, more cancer, less associated diagnosis, less general health impairmen t than HC in-patients. More chemotherapies and endoscopies were perfor med in HDS. Hospital physicians were more often involved in HDS admiss ions than in HC admissions and general practitioners mere more often i nvolved in outpatient hospital visits for advice before HDS hospitaliz ations than before HC hospitalization. HDS hospitalizations per in-pat ient were more numerous than HC hospitalizations. HDS inpatients were discharged directly to their home more often, After logistic regressio n modeling, most of these factors remained independently associated wi th HDS hospitalization, except for sociodemographic characteristics, a ge excluded, admission rates and home discharge. Conclusion. - Type of hospitalization (HDS vs, HC) was mainly determined by medical charact eristics of patients and by care pathways, Limiting factors were mainl y due to organization of care.