Jovani Vega, Loza Estíbaliz, García de Yébenes M Jesús, Descalzo Miguel Ángel, Barrio Juan Manuel, Carmona Loreto, Hernández-García César
Servicio de Reumatología, Hospital General Universitario de Alicante, Alicante, España.
Reumatol Clin. 2012 May-Jun;8(3):114-9. doi: 10.1016/j.reuma.2012.01.011. Epub 2012 Apr 13.
Our objective was to describe the variability in the management of spondyloarthritis (SA) in Spain in terms of healthcare resources and their use.
A review of 1168 medical files of patients seen in randomly selected Spanish hospital rheumatology departments. We analyzed demographic variables and variables related to the consumption of health resources.
The total number of visits to rheumatology were 5,908 with a rate of 254 visits/100 patient-years. The total number of visits to rheumatology specialty nurses was 775, with a rate of 39 visits/100 patient-years, and there were 446 hospitalizations, representing a rate of 22 per 100 patient-years. The number of admissions due to SA was 89, with a rate of 18 admissions/100 patient-years. Total visits to other specialists was 4,307 with a rate of 200/100 patient-years. The total number of orthopedic surgeries was 41, which leads to a rate of 1.8 surgeries/100 patient-years.
The data regarding visits to the rheumatologist and prosthetic surgery of patients with in Spain is similar to most studies published in our environment, however, other aspects concerning the use of health resources are different compared to other countries. This data may help to understand and improve organizational aspects of management of SA in Spanish hospitals.
我们的目的是描述西班牙脊柱关节炎（SA）管理在医疗资源及其使用方面的变异性。
对随机选择的西班牙医院风湿病科就诊的1168例患者的病历进行回顾。我们分析了人口统计学变量以及与卫生资源消耗相关的变量。
风湿病科的就诊总次数为5908次，就诊率为254次/100患者年。风湿病专科护士的就诊总次数为775次，就诊率为39次/100患者年，住院446次，住院率为22次/100患者年。因SA住院的次数为89次，住院率为18次/100患者年。其他专科的就诊总次数为4307次，就诊率为200次/100患者年。骨科手术总数为41例，手术率为1.8例/100患者年。
西班牙患者到风湿病科就诊及进行假体手术的数据与我们环境中发表的大多数研究相似，然而，与其他国家相比，卫生资源使用的其他方面有所不同。这些数据可能有助于理解和改善西班牙医院SA管理的组织方面。
