作者: Francisco Botella Romero , Francisco Javier Elola Somoza , Elena Navarro González , Cristina Fernández Pérez , José Luis Bernal Sobrino
DOI: 10.1016/J.ENDIEN.2018.10.012
关键词: Management indicators 、 Day hospital 、 Clinical nutrition 、 National health 、 Internal medicine 、 Unit (housing) 、 Patient care 、 Endocrinology 、 Medicine 、 Quality management
摘要: Abstract Objectives To elaborate a diagnosis of the situation regarding assistance in Services and Units Endocrinology Nutrition (S°EyN) National Health System Spain (SNHS) to develop, based on results obtained, proposals for improvement policies S°EyN. Material methods Cross-sectional descriptive study patients treated S°EyN departments acute general hospitals SNHS 2016. Data were obtained through RECALSEEN 2017, an “ad hoc” survey designed specifically this purpose, Minimum Basic Set discharges given by S°EN (2015). Results 88 responses have been forma total 125 more than 200 beds installed (70% answers). 47% respondents services 31% sections. The average endocrinologists was 7.4 ± 4.4, rate per 100,000 inhabitants 2.3 ± 1. most relevant care activities consultation (average 12.3 first consultations thousand year), day hospital (median 2000 sessions/year) in-hospital 900 consultations/year). 83% S°EyNhad Clinical Unit. number dietitians, nutrition technicians nutritionists Unit low. In relation quality management, large margin detected; only 35% had responsible 38% implemented process management those frequent processes unit. There notable differences structure, resources activity between Autonomous Communities. Conclusions 2017 is useful tool analysis remarkable variability found indicators probably indicates significant and, therefore, wide improvement.