title: [Continuity of medical care. Evaluation of a collaborative program between hospital and Primary Care].
abstract: The patients being treated in our health care system are becoming increasingly older and have a greater prevalence of chronic diseases. Due to these factors, these patients require greater and easier accessibility to the system as well as continuity of medical care. Collaboration between the different levels of health care has been instrumental in the success of the system and has produced changes in the hospital medical care protocol. Our hospital has developed a care model oriented towards the patient's needs, resulting in a higher grade of satisfaction among the medical professionals. In this paper, we have given a detailed description of part of our medical model, illustrating its different components and indicating several parameters of its evaluation. We have also reviewed the current state of the various models published on this topic. In summary, we believe that this medical care model presents a different approach to management that benefits patients, medical professionals and the health system alike.
authors.affiliation: Unidad de Medicina Interna, Servicio de Medicina, Hospital San Juan de Dios del Aljarafe, Bormujos, Sevilla, Spain. afernandez@aljarafe.sjd.es
authors.forename: A
authors.initials: A
authors.lastname: Fernández Moyano
authors.forename: J L
authors.initials: JL
authors.lastname: García Garmendia
authors.forename: C
authors.initials: C
authors.lastname: Palmero Palmero
authors.forename: B
authors.initials: B
authors.lastname: García Vargas-Machuca
authors.forename: J M
authors.initials: JM
authors.lastname: Páez Pinto
authors.forename: M
authors.initials: M
authors.lastname: Alvarez Alcina
authors.forename: R
authors.initials: R
authors.lastname: Aparicio Santos
authors.forename: M
authors.initials: M
authors.lastname: Benticuaga Martines
authors.forename: J
authors.initials: J
authors.lastname: Delgado de la Cuesta
authors.forename: R
authors.initials: R
authors.lastname: de la Rosa Morales
authors.forename: C
authors.initials: C
authors.lastname: Escorial Moya
authors.forename: R
authors.initials: R
authors.lastname: Espinosa Calleja
authors.forename: J
authors.initials: J
authors.lastname: Fernández Rivera
authors.forename: C
authors.initials: C
authors.lastname: González-Becerra
authors.forename: E
authors.initials: E
authors.lastname: López Herrero
authors.forename: Y
authors.initials: Y
authors.lastname: Marín Fernández
authors.forename: A M
authors.initials: AM
authors.lastname: Mata Martín
authors.forename: A
authors.initials: A
authors.lastname: Ramos Guerrero
authors.forename: M J
authors.initials: MJ
authors.lastname: Romero Rivero
authors.forename: M
authors.initials: M
authors.lastname: Sánchez-Dalp
authors.forename: I
authors.initials: I
authors.lastname: Vallejo Maroto
mesh_terms: D003266:Continuity of Patient Care / Q000458:organization & administration; D006761:Hospitals; D006801:Humans; D017146:Models, Organizational; D011320:Primary Health Care; D015397:Program Evaluation