[RECALMIN. Patient care in the internal medicine units of the Spanish national health system].

Autor: Zapatero Gaviria A; Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España. Electronic address: azapatero.hflr@salud.madrid.org., Barba Martín R; Hospital Universitario Rey Juan Carlos, Móstoles, Madrid, España., Román Sánchez P; Hospital de Requena, Requena, Valencia, España., Casariego Vales E; Complejo Hospitalario Xeral-Calde, Lugo, España., Diez Manglano J; Hospital Royo Villanova, Zaragoza, España., García Cors M; Hospital General de Cataluña, Sant Cugat del Vallès, Barcelona, España., Jusdado Ruiz-Capillas JJ; Hospital Universitario Severo Ochoa, Leganés, Madrid, España., Suárez Fernández C; Hospital Universitario de La Princesa, Madrid, España., Bernal JL; Hospital Universitario 12 de Octubre, Madrid, España; Fundación Instituto para la Mejora de la Asistencia Sanitaria (IMAS), España., Elola Somoza FJ; Fundación Instituto para la Mejora de la Asistencia Sanitaria (IMAS), España.
Jazyk: Spanish; Castilian
Zdroj: Revista clinica espanola [Rev Clin Esp (Barc)] 2016 May; Vol. 216 (4), pp. 175-82. Date of Electronic Publication: 2016 Feb 16.
DOI: 10.1016/j.rce.2016.01.002
Abstrakt: Objectives: To perform a situation analysis of the care provided by internal medicine units (IMUs) in Spain and to develop, based on this analysis, proposals for improving the quality of care in these units.
Material and Methods: A descriptive, cross-sectional study of the IMUs of general acute care hospitals of the Spanish National Health System (SNHS), with data referring to 2013. The study variables were collected via an ad hoc questionnaire.
Results: Of the total 260hospitals identified in the SNHS, 142responses were obtained from 139hospitals throughout Spain, which represents 53.5% of the IMUs in the SNHS. The mean number of internists per IMU was 14±8, with a mean rate of 7.2±3.3 internists per 100,000 inhabitants. In 2013, the average number of hospital discharges from the IMU was 2,987±2,066, and those discharged by internists was 232±107. Sixty-one percent of the IMUs had implemented an interconsultation unit, and 41% had implemented a systematic care program for complex chronic patients. Thirty-three percent of the IMUs conducted multidisciplinary rounds, and 60% of these IMUs planned the discharge.
Conclusions: The 2013 RECALMIN survey revealed a number of important aspects of the organisation, structure and management of IMUs. The remarkable variability in the indicators of structure, activity and management probably reflect significant differences in efficiency and productivity, which therefore provide significant room for improvement.
(Copyright © 2016 Elsevier España, S.L.U. y Sociedad Española de Medicina Interna (SEMI). All rights reserved.)
Databáze: MEDLINE
Externí odkaz: