Jiménez-Puente A, Martín-Escalante M D, Martos-Pérez F, García-Alegría J
Unidad de Evaluación, Agencia Sanitaria Costa del Sol, Marbella, Málaga, España; Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC).
Área de Medicina, Agencia Sanitaria Costa del Sol, Marbella, Málaga, España.
Rev Clin Esp (Barc). 2019 Dec;219(9):485-489. doi: 10.1016/j.rce.2019.03.005. Epub 2019 Apr 20.
The aging population is resulting in an increasing number of patients with multiple diseases that require treatment by various specialties. We examined the evolution of consultations and of the percentage of patients treated by several medical specialties.
We analysed internal medicine (IM) consultations and those of other medical specialties in a hospital during 1997, 2007 and 2017 for the general population and for those older than 65 years.
Over the course of 20 years, the rate of first IM consultations per 1000 inhabitants increased 44%, and that of other medical specialties increased 137%. The percentage of patients seen by more than one specialty went from 13.8% in 1997 to 32.6% in 2017 and reached 45.5% for those older than 65 years.
The care for populations with growing comorbidity has a major impact on health systems and requires organisational changes for their care.
人口老龄化导致患有多种疾病且需要多个专科进行治疗的患者数量不断增加。我们研究了会诊情况以及多个医学专科治疗患者的比例变化。
我们分析了一家医院在1997年、2007年和2017年针对普通人群以及65岁以上人群的内科（IM）会诊和其他医学专科会诊情况。
在20年期间，每1000名居民的首次内科会诊率增长了44%，其他医学专科的会诊率增长了137%。由多个专科诊治的患者比例从1997年的13.8%升至2017年的32.6%，65岁以上人群这一比例达到45.5%。
对合并症不断增加的人群进行护理对卫生系统有重大影响，需要对其护理进行组织变革。
