Martín Folgueras Tomás, Ballesteros Pomar María Dolores, Burgos Peláez Rosa, Calvo Hernández María Victoria, Luengo Pérez Luis Miguel, Irles Rocamora José Antonio, Olveira Gabriel, Vidal Casariego Alfonso, Alvarez Hernández Julia
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Nutr Hosp. 2017 Jul 28;34(4):989-996. doi: 10.20960/nh.911.
Among the objectives of the SENPE Management Working Group is the development of knowledge and tools related to the evaluation of health outcomes.
To obtain an approximate profile of clinical nutrition in hospitals in Spain, specifically concerning its organization, endowment, activities and quality indicators.
A cross-sectional study conducted in 2013 through a structured survey sent to a random sample of 20% of hospitals from the network of the National Health System of Spain, stratified by the number of hospital beds.
The overall response rate was 67% (83% in hospitals with over 200 beds). In 65% of hospitals, clinical nutrition is run by a coordinated team or unit, with a doctor working full time in only 50% of centers. Other professionals are often not recognized as part of the team or unit. There is a specialized monographic nutrition clinic in 62% of centers and 72% have more than 40 new inpatient consultations per month (27% with more than 80 per month). Among the centers with a clinical nutrition team or unit, there is a greater tendency to monitor quality indicators related to clinical practice.
There is widespread addition of clinical nutrition teams and units in hospitals in Spain. However, truly multidisciplinary organization is not often found. High workloads are assumed in relation to staffing levels. The existence of well-organized structures may be associated with benefits that directly affect attendance.
西班牙国家患者安全与健康质量评估系统（SENPE）管理工作组的目标之一是开发与健康结果评估相关的知识和工具。
了解西班牙医院临床营养的大致情况，特别是其组织架构、资源配备、活动开展及质量指标。
2013年开展了一项横断面研究，通过向西班牙国家卫生系统网络中20%的医院随机抽样发送结构化调查问卷，抽样按医院床位数分层。
总体回复率为67%（床位超过200张的医院回复率为83%）。65%的医院中，临床营养由一个协调团队或科室负责，仅有50%的中心有全职医生。其他专业人员往往不被视为团队或科室的一部分。62%的中心设有专门的营养专科门诊，72%的中心每月有超过40例新住院患者会诊（27%的中心每月超过80例）。在设有临床营养团队或科室的中心中，更倾向于监测与临床实践相关的质量指标。
西班牙医院中临床营养团队和科室普遍增加。然而，真正的多学科组织并不常见。相对于人员配备水平，工作量较大。组织架构完善可能会带来直接影响就诊率的益处。
