RESUMEN
INTRODUCTION: The day hospital is an alternative to hospitalization. This alternative improves accessibility and comfort of the patients, and avoids hospitalizations. Nevertheless, the efficacy of the polyvalent medical day hospital in avoiding hospitalizations has not been evaluated. OBJECTIVE: To analyze hospital stays avoided by the polyvalent medical day hospital of a university hospital of the Andalusian Health Service. METHODS: An observational prospective study of the patients studied and/or treated in the polyvalent medical day hospital of the Hospital Universitario Puerto Real over a one year period. RESULTS: A total of 9640 patients were attended to, with 1413 procedures and 4921 i.v. treatments. There were 3182 visits to the priority consultation of the polyvalent medical day hospital. The most frequent consultation complaints were constitutional symptoms (15.9%) and anemia (14.5%). After the first visit, 21.5% of the patients were discharged and fewer than 3% were hospitalized. Hospitalization was avoided in 16.8% of the patients, there being a 6.0% decrease in the need for hospital beds (5.0% reduction in the internal medicine unit). Inadequate hospitalizations and 30-day readmissions decreased 93.3% and 4.2%, respectively. The most frequent diagnosis was neoplasm (26.0%), and most of the beds freed up were generated by patients diagnosed of neoplasm (26.7%). CONCLUSION: With this type of polyvalent medical day hospital, we have observed improved efficiency of health care, freeing up hospital beds by reducing hospitalizations, inadequate hospitalizations and re-admissions in the medical units involved.
Asunto(s)
Centros de Día/estadística & datos numéricos , Hospitalización/estadística & datos numéricos , Hospitales Universitarios/organización & administración , Adulto , Anciano , Anciano de 80 o más Años , Centros de Día/organización & administración , Centros de Día/normas , Eficiencia Organizacional , Femenino , Hospitales Universitarios/normas , Hospitales Universitarios/estadística & datos numéricos , Humanos , Masculino , Persona de Mediana Edad , Evaluación de Procesos y Resultados en Atención de Salud , Readmisión del Paciente/estadística & datos numéricos , Estudios Prospectivos , EspañaRESUMEN
Introducción. El hospital de día es una alternativa a la hospitalización, que mejora la accesibilidad y el confort del paciente, evitando ingresos. No obstante, la eficacia del hospital de día médico polivalente en la evitación de estancias hospitalarias no ha sido evaluada. Objetivo. Analizar las estancias evitadas por el hospital de día médico polivalente de un hospital universitario del Servicio Andaluz de Salud. Métodos. Estudio observacional prospectivo de los pacientes estudiados y/o tratados en el hospital de día médico polivalente del Hospital Universitario Puerto Real durante un año. Resultados. Se han atendido 3.640 pacientes, realizándose 1.413 procedimientos y 4.921 tratamientos i.v. La consulta de atención preferente del hospital de día médico polivalente realizó 2.182 visitas. Los motivos de consulta más frecuentes fueron los síntomas constitucionales (15,9%) y la anemia (14,5%). Tras la primera visita, el 21,5% de los casos fueron dados de alta y menos de un 3% eran ingresados. En el 16,8% de los casos se evitó la hospitalización convencional, con una disminución del 6,0% en la necesidad de camas (5% en la unidad de Medicina Interna). Los ingresos inadecuados y los reingresos en 30 días disminuyeron un 93,3% y un 4,2% respectivamente. La afección diagnosticada con mayor frecuencia es la neoplásica (26,0%), más de la cuarta parte de las camas liberadas se generan por pacientes con neoplasias (26,7%). Conclusión. Con este tipo de hospital de día médico polivalente se observa una mejora de la eficiencia asistencial, liberándose camas hospitalarias mediante la reducción de los ingresos, ingresos no adecuados y de los reingresos precoces en las unidades implicadas(AU)
Introduction. The day hospital is an alternative to hospitalization. This alternative improves accessibility and comfort of the patients, and avoids hospitalizations. Nevertheless, the efficacy of the polyvalent medical day hospital in avoiding hospitalizations has not been evaluated. Objective. To analyze hospital stays avoided by the polyvalent medical day hospital of a university hospital of the Andalusian Health Service. Methods. An observational prospective study of the patients studied and/or treated in the polyvalent medical day hospital of the Hospital Universitario Puerto Real over a one year period. Results. A total of 9640 patients were attended to, with 1413 procedures and 4921 i.v. treatments. There were 3182 visits to the priority consultation of the polyvalent medical day hospital. The most frequent consultation complaints were constitutional symptoms (15.9%) and anemia (14.5%). After the first visit, 21.5% of the patients were discharged and fewer than 3% were hospitalized. Hospitalization was avoided in 16.8% of the patients, there being a 6.0% decrease in the need for hospital beds (5.0% reduction in the internal medicine unit). Inadequate hospitalizations and 30-day readmissions decreased 93.3% and 4.2%, respectively. The most frequent diagnosis was neoplasm (26.0%), and most of the beds freed up were generated by patients diagnosed of neoplasm (26.7%). Conclusion. With this type of polyvalent medical day hospital, we have observed improved efficiency of health care, freeing up hospital beds by reducing hospitalizations, inadequate hospitalizations and re-admissions in the medical units involved(AU)