Hospitalización a Domicilio en hospitales públicos gallegos
- M.L. Hermida Porto 1
- L.M. Dopico Santamariña 1
- F. Lamelo Alfonsín 1
- B. Aldámiz-Echevarría Iraurgui 1
- MA. Silva César 1
- L. Vidán Martínez 1
- 1 Unidad de Hospitalización a Domicilio. Complexo Hospitalario Universitario A Coruña. SERGAS. A Coruña
ISSN: 0304-4866, 1989-3922
Year of publication: 2015
Volume: 76
Issue: 1
Pages: 7-12
Type: Article
More publications in: Galicia Clínica
Abstract
Objective. To describe the organization and the activities performed by the Hospital at Home Units in Galician public hospitals. Methods. All Hospital at Home Units of the public system responded a detailed survey about their activities, organization, teaching, and relationships with primary care through year 2013. A descriptive study of the variables was performed, reporting the measures of centralization and dispersion of quantitative variables and, the absolute value and percentage of qualitative ones. Results. Ten active Hospital at Home Units of Galician public health network during 2013 participated, serving 78% of the Hospitals in the community. Hospital at Home beds represent 5.92% of all hospital beds with an average of 12 beds assigned to each physician. A total of 38 physicians were working in this organization model, 50% of whom were Family Physicians and 31.7% were Internists. 27% of total admissions (5514) were palliative cancer patients and 17.13% of all patients were admitted from primary care facilities. Conclusions. Hospital at Home Units is an alternative model to conventional hospital care, with a large heterogeneity between each unit but with a clear vocation to home care for palliative oncological and nononcological patients, decompensated patients with chronic diseases, and treatment of stable acute infectious diseases.