Coordination between a district hospital and a reference hospital: evaluation of chest disease care models

Specialised medical care at district hospitals has not been thoroughly defined. Respiratory care data from 2008 in Barbanza and Cee hospitals (Galicia, Spain), were analysed to evaluate different approaches, as they are both similar. Barbanza hospital has a chest diseases clinic run by specialist do...

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Bibliographic Details
Published in:Archivos de bronconeumología (English ed.) 2011-06, Vol.47 (6), p.290
Main Authors: Verea-Hernando, Héctor, Valdés-Cuadrado, Luis, López-Campos, José María, Fandiño-Orgeira, José, Blanco-Ramos, Manuel
Format: Article
Language:eng ; spa
Subjects:
Hospitals, District - organization & administration
Humans
Respiratory Tract Diseases - therapy
Retrospective Studies
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Summary:Specialised medical care at district hospitals has not been thoroughly defined. Respiratory care data from 2008 in Barbanza and Cee hospitals (Galicia, Spain), were analysed to evaluate different approaches, as they are both similar. Barbanza hospital has a chest diseases clinic run by specialist doctors from the reference hospital three days per week, while Cee hospital is operated by the staff on site. In both cases hospitalisation is the responsibility of the Internal Medicine department. Data was provided by the administrative departments of each hospital and the regional government. Average CDM4 stays were similar for both district hospitals; however, they were lower than in the reference hospital. Charlson scores and re-admissions a month after discharge were similar in both. Barbanza's hospital carried out more functional explorations, both at the centre (957 spirometries vs 21; P
ISSN:1579-2129
DOI:10.1016/j.arbres.2011.02.007