title: [A new model for medical care to multi-admitted patients].
abstract: OBJECTIVE
  Patients with chronic conditions are often readmitted to hospital. A study was designed to improve health care to these patients.
  
  
  METHODS
  Patients attended at the Internal Medicine Department of a hospital area who were admitted to hospital at least three times in a year were included in the study. Within a prospective study, patients were attended by means of specific consultation with care upon request and telephone care, with the possibility of programmed admission.
  
  
  RESULTS
  Patients were followed for 32 months, with a 45% decrease in the admission rate, 50% in visits to the Emergency Department, and 26% in hospital stay days.
  
  
  CONCLUSIONS
  The proposed care model decrease the attending needs for these patients.
authors: Servicio de Medicina Interna. Hospital El Tomillar. Area Hospitalaria de Valme. Dos Hermanas. Sevilla. Spain. minfga@valme.sas.junta-andalucia.es
authors: F
authors: F
authors: Gamboa Antiñolo
authors: E
authors: E
authors: Gómez Camacho
authors: E
authors: E
authors: De Villar Conde
authors: J
authors: J
authors: Vega Sánchez
authors: L
authors: L
authors: Mayoral Martín
authors: R
authors: R
authors: López Alonso
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D005260:Female; D006296:Health Services / Q000592:standards*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010359:Patient Readmission / Q000706:statistics & numerical data; D011446:Prospective Studies; D012017:Referral and Consultation; D013030:Spain