Publications

Patients with complex health care needs represent a small but growing sector of the U.S. population. Most patients in this high-cost group are Medicare beneficiaries with multiple chronic conditions, frequent hospitalizations and limitations on their ability to perform basic daily functions because of physical, mental and psychosocial challenges.

La medicina interna continua afrontando nuevos desafíos, ampliando sus funciones y experimentando cambios en la organización asistencial.

Background: The accumulation of chronic conditions in a same patient is increasingly more frequent for which is becoming a problem of public health. The objectives of this study are to describe the prevalence of comorbidity in the population, its epidemiological characteristics and its influence in the utilization of health services from the Regional Health Survey of Madrid (ERSM2007) and to compare two indicators of comorbidity.

For many years home care needs have been associated with the ageing of the population. This is undoubtedly an important factor that determines an increase in the demand for home services, but will not be the only. Projections undertaken by IMSERSO, jointly with other agencies (Eurostat, UN) data show a projection through a significant increase in the proportion of elderly for half of this century (IMSERSO, 2004 and 2006). Specifically run current age 65 or ...

El progresivo envejecimiento de la población española se acompaña de una elevada prevalencia de personas, algunas de ellas frágiles, con dos o más enfermedades crónicas.

Meeting the needs of people with chronic diseases is one of the major challenges facing U.S. health care today. Chronic disease is the leading cause of illness, disability, and death in the United States. It accounts for the majority of health care resources used each year and places substantial burdens on the quality of life of individuals, families, and communities. Successful chronic disease self-management is a partnership between an informed patient, the patient's ...

Debemos avanzar hacia una identificación clara y coherente de la cartera de servicios de la enfermera gestora de casos. La gestión de los cuidados de las personas con necesidades asistenciales complejas mejorará notablemente

Comparecencia a petición propia del Consejero de Sanidad y Consumo del Gobierno Vasco ante la Comisión de Sanidad y Consumo del Parlamento Vasco para exponer el programa a desarrollar por su departamento durante la IX legislatura.

En Andalucía el Proceso asistencial de atención al paciente pluripatológico es el conjunto de actividades encaminadas a garantizar a pacientes pluripatológicos una asistencia sanitaria integral, coordinando a los profesionales, servicios o centros, a lo largo del tiempo y en el marco del actual Sistema Sanitario Público de Andalucía. Este proceso incluye: 1) Identificación. 2) Valoración integral . 3) Plan de Asistencia Continuada (PACEI), como modelo de asistencia conjunta entre AP y AE, que facilita la continuidad ...