RECALMIN V. Evolución de la actividad de las unidades de medicina interna del Sistema Nacional de Salud (2007-2022)

IF 2.3 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Revista clinica espanola Pub Date : 2025-04-01 DOI:10.1016/j.rce.2024.10.011

J. Carretero Gómez , M.M. Chimeno Viñas , J.M. Porcel Pérez , M. Méndez Bailón , P. Pérez Martínez , M.T. Herranz Marín , N. del Prado , F.J. Elola Somoza

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引用次数: 0

Abstract

Objectives

To analyse the structure, activity and results of the internal medicine units (IMUs) of the Spanish National Health System (SNHS). To compare the results of the RECALMIN 2023 survey with previous waves of surveys of the UMIs (2008, 2015, 2017, 2019, 2021) and to analyse trends in the structure, activity and results of the UMIs.

Material and methods

There were 2 data sources: 1) survey on UMI structure and activity, and 2) hospital discharges of UMIs from the Minimum and Basic Data Set (CMBD) of the SNHS. Cross-sectional descriptive study of the UMIs in acute hospitals of the SNHS with data referring to 2022, comparing them with previous studies.

Results

Over the period 2007-2022, the rate of internists per 100,000 inhabitants increased (incidence rate ratio [IRR]: 4.5%; p < 0.001). Inpatient discharges per population and the number of discharges by UMI (IRR: 2.6%, p = 0.005; IRR: 3.5%, p < 0.001, respectively) also increased. The UMIs account for 20% of discharges from general hospitals in the NHS. The Internal Medicine Spanish Society has a database of the CMBD_MIN 2007-2022 with 9,931,401 discharges given by the UMI. The crude in-hospital hospital mortality rate increased in the period 2007-2022 (p < 0.001). From 2020 onwards (SARS-CoV-2 pandemic) overall risk-adjusted and process-adjusted mortality increased (p < 0.001).

Conclusions

UMIs have a central position in SNHS hospital care. The activity of the UMI has grown significantly in the period analysed. The RECALMIN project identifies strengths and opportunities to be strategically addressed by Internal Medicine Spanish Society.

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来源期刊

Revista clinica espanola 医学-医学：内科

CiteScore

4.40

自引率

6.90%

发文量

审稿时长

28 days

期刊介绍： Revista Clínica Española published its first issue in 1940 and is the body of expression of the Spanish Society of Internal Medicine (SEMI). The journal fully endorses the goals of updating knowledge and facilitating the acquisition of key developments in internal medicine applied to clinical practice. Revista Clínica Española is subject to a thorough double blind review of the received articles written in Spanish or English. Nine issues are published each year, including mostly originals, reviews and consensus documents.