ABSTRACT
The patients being treated in our health care system are becoming increasingly older and have a greater prevalence of chronic diseases. Due to these factors, these patients require greater and easier accessibility to the system as well as continuity of medical care. Collaboration between the different levels of health care has been instrumental in the success of the system and has produced changes in the hospital medical care protocol. Our hospital has developed a care model oriented towards the patient's needs, resulting in a higher grade of satisfaction among the medical professionals. In this paper, we have given a detailed description of part of our medical model, illustrating its different components and indicating several parameters of its evaluation. We have also reviewed the current state of the various models published on this topic. In summary, we believe that this medical care model presents a different approach to management that benefits patients, medical professionals and the health system alike.
Subject(s)
Continuity of Patient Care , Hospitals , Primary Health Care , Continuity of Patient Care/organization & administration , Humans , Models, Organizational , Program EvaluationABSTRACT
Los pacientes atendidos en nuestro sistema sanitario tienen cada vez más edad y mayor prevalencia de enfermedades crónicas. Estas características de salud han condicionado que entre las expectativas de mayor relevancia de los pacientes, se indiquen la accesibilidad al sistema y la continuidad en los cuidados. La colaboración entre los distintos niveles asistenciales ha sido una herramienta reconocida que facilita la consecución de estas expectativas, provocando cambios en la organización del trabajo. Nuestro hospital ha desarrollado un modelo de atención sanitaria que en su orientación al enfermo facilita la colaboración entre los distintos niveles asistenciales, consiguiendo un grado de satisfacción de los profesionales elevado. En este trabajo se describe detalladamente parte del modelo, mostrando los elementos que lo caracterizan, indicando algunos parámetros de la evaluación de resultados y revisando la situación de los modelos de continuidad asistencial publicados. En resumen, consideramos que este sistema asistencial está dotado de elementos de gestión que permiten atender las expectativas de los usuarios, aportando beneficios para el paciente, el profesional y el sistema sanitario (AU)
The patients being treated in our health care system are becoming increasingly older and have a greater prevalence of chronic diseases. Due to these factors, these patients require greater and easier accessibility to the system as well as continuity of medical care. Collaboration between the different levels of health care has been instrumental in the success of the system and has produced changes in the hospital medical care protocol. Our hospital has developed a care model oriented towards the patient's needs, resulting in a higher grade of satisfaction among the medical professionals. In this paper, we have given a detailed description of part of our medical model, illustrating its different components and indicating several parameters of its evaluation. We have also reviewed the current state of the various models published on this topic. In summary, we believe that this medical care model presents a different approach to management that benefits patients, medical professionals and the health system alike (AU)
Subject(s)
Humans , Primary Health Care/methods , Hospital Departments/methods , Cooperative Behavior , Patient Care , Spain , Program EvaluationABSTRACT
AIMS: To Study the inappropriateness of the admissions and stays in an Internal Medicine Department using the concurrent version of the AEP (Appropriateness Evaluation Protocol). METHOD: Aplication of the concurrent version of the AEP to all the patients internated in an Internal Medicine Department. 257 RESULTS: 59 patients and 485 stays fulfilled the inclusion criteria. A 15.3/ of the admissions and a 33/ of the stays did not acomplish the criteria of appropriateness of the AEP. The most frequent cause of innappropriate admision was to avoid the delay of the ambulatory studies. The most common cause of innappropriate stay was the wait for results of complementary tests and consultancy between different specialities. CONCLUSIONS: Using the concurrent version of the AEP allows to obtain information about the overuse of the hospitalization resources in an easy and rapid way. The results obtained in our study are similar to other made in Spain using the retrospective version of the AEP.
Subject(s)
Guideline Adherence/statistics & numerical data , Hospital Departments/statistics & numerical data , Hospitals, Public/statistics & numerical data , Internal Medicine/statistics & numerical data , Length of Stay/statistics & numerical data , Patient Admission/standards , Aged , Diagnosis-Related Groups , Female , Guidelines as Topic , Humans , Male , Middle Aged , Patient Admission/statistics & numerical data , SpainABSTRACT
Objetivos: Determinar la inadecuación de ingresos y estancias en un Servicio de Medicina Interna utilizando la versión concurrente del AEP (Appropriateness Evaluation Protocol).Método: Aplicación de la versión concurrente del AEP a los pacientes ingresados en un Servicio de Medicina Interna. Resultados: 59 pacientes y 485 estancias fueron evaluados. Un 15.3 por ciento de los ingresos y un 33 por ciento de las estancias fue inadecuado. La causa más frecuente de ingreso inadecuado fue agilización del estudio ambulatorio. El motivo más frecuente de estancia inadecuada fue la espera de resultados de pruebas complementarias e interconsultas. Conclusiones: La utilización de la versión concurrente del AEP permite obtener de forma cómoda y rápida información del sobreuso de los recursos de hospitalización. Los resultados obtenidos son similares a los de otros estudios realizados de forma retrospectiva en España (AU)
Subject(s)
Middle Aged , Aged , Male , Female , Humans , Spain , Guidelines as Topic , Patient Admission , Guideline Adherence , Diagnosis-Related Groups , Hospital Departments , Hospitals, Public , Length of Stay , Internal MedicineABSTRACT
OBJECTIVE: We describe the weight's distribution in a sample of medical patients in hospital. We estimate the global prevalence and the presence between other different clinical variables. MATERIAL AND METHODS: A prevalence cross-sectional study was carried out. We determine weight, stature and several clinical variables in 101 patients admit in the internal medicine department of Juan Ramón Jiménez hospital in Huelva. The patients were admitted from 6th to 7th of june in 2000. The Body Mass Index (BMI) > or = 30 Kg/m2 was used to define the obesity. RESULTS: The prevalence of obesity was 32.2% [0.236-0.416]. In the study we find an association with female (prevalente rate -PR- 3.22), HTA (PR 4.72), dislipemia (RP 4.40) and hyperuricacemia (RP 4.28). CONCLUSIONS: The prevalence of obesity in our patients was between 23.41%, it was greater than others estimations in general people. We find association with women and classic cardiovascular risk factors.
Subject(s)
Inpatients/statistics & numerical data , Obesity/epidemiology , Adult , Aged , Cross-Sectional Studies , Female , Hospitalization/statistics & numerical data , Humans , Internal Medicine/statistics & numerical data , Male , Middle Aged , Prevalence , Spain/epidemiologyABSTRACT
Fundamento: Se describe la distribución ponderal de una muestra de pacientes médicos hospitalizados. Se estima la prevalencia global y su presencia entre diferentes variables clínicas. Material y métodos: Se diseñó un estudio descriptivo de prevalencia y se determinó el peso, la talla y diversas variables clínicas de 101 pacientes hospitalizados en el Servicio de Medicina Interna del Hospital Juan Ramón Jiménez de Huelva. Los pacientes fueron ingresados entre los días 6-7 de junio de 2000. La obesidad fue definida por un índice de masa corporal (IMC) 30 Kg/m2. Resultados: La prevalencia de la obesidad global fue de 32,7% [0,236 - 0,416]. En el estudio encontramos asociación estadísticamente significativa con el sexo femenino (Razón de prevalencia -RP- 3,22), HTA (RP 4,72), dislipemia (RP 4,40) e hiperuricemia (RP4,28). Conclusiones: La prevalencia de obesidad de nuestros pacientes oscila entre el 23 y 41%, por encima de las estimaciones sobre población general. Más prevalente entre las mujeres y asociada a los factores de riesgo cardiovasculares clásicos (AU)
Subject(s)
Middle Aged , Aged , Adult , Male , Female , Humans , Spain , Prevalence , Obesity , Cross-Sectional Studies , Hospitalization , Internal Medicine , InpatientsABSTRACT
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