• 作者：H&#233 ; ctor Verea-Hernando^a ; ^{hector.verea.hernando@sergas.es} ; Luis Vald&#233 ; s-Cuadrado^b ; Jos&#233 ; Marí ; a Ló ; pez-Campos^c ; Jos&#233 ; Fandiñ ; o-Orgeira^d ; Manuel Blanco-Ramos^e
• 关键词：Asistencia neumologica ; Coordinacion asistencial ; Hospital comarcal ; Hospital de referencia ; CDM4 ; GRD88 ; Derivacion asistencial ; Estancia media
• 刊名：Archivos de Bronconeumolog铆a
• 出版年：2011
• 期刊代码：pca65_03002896
• 类别：med
• 出版时间：June 2011
• 卷：47
• 期：6
• 页码：290-295
• 文件大小：667 K

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; m>Pm><.0001) and at the reference hospital (214 volume/diffusion tests vs 99; m>Pm><.001). CPAP treatments were more prevalent in the Barbanza area (3.9 vs 2/1,000 habitants; m>Pm><.0001). No differences were found in oxygen therapy and home mechanical ventilation. Mortality due to respiratory disease in 2007 was similar in both regions.

Data suggests that in a district hospital scheme supported by chest disease consultants and outpatient clinics gives easier access to specialised, comprehensive and probably, higher quality care than district hospitals without them.