Fontalba-Navas Andres, Pozo Muñoz Francisco, Garcia Cisneros Rogelio, Garcia Larrosa Maria Jose, Callejon Gil Maria Del Mar, Garcia Delgado Ignacio, Jimenez Martinez Maria Belen
Antequera Hospital, Northern Málaga Integrated Healthcare Area, Antequera 29200, Andalusia, Spain.
Department of Public Health and Psychiatry, University of Málaga, Málaga 29010, Spain.
World J Clin Cases. 2025 Jan 26;13(3):98284. doi: 10.12998/wjcc.v13.i3.98284.
Addressing the growing challenge of hospitalizing chronic multimorbid patients, this study examines the strain these conditions impose on healthcare systems at a local level, focusing on a pilot program. Chronic diseases and complex patients require comprehensive management strategies to reduce healthcare burdens and improve patient outcomes. If proven effective, this pilot model has the potential to be replicated in other healthcare settings to enhance the management of chronic multimorbid patients.
To evaluate the effectiveness of the high complexity unit (HCU) in managing chronic multimorbid patients through a multidisciplinary care model and to compare it with standard hospital care.
The study employed a descriptive longitudinal approach, analyzing data from the Basic Minimum Data Set (BMDS) to compare hospitalization variables among the HCU, the Internal Medicine Service, and other services at Antequera Hospital throughout 2022. The HCU, designed for patients with complex chronic conditions, integrates a patient-centered model emphasizing multidisciplinary care and continuity post-discharge.
The study employed a descriptive longitudinal approach, analyzing data from the BMDS to compare hospitalization variables among the HCU, the Internal Medicine Service, and other services at Antequera Hospital throughout 2022. The HCU, designed for patients with complex chronic conditions, integrates a patient-centered model emphasizing multidisciplinary care and continuity post-discharge.
This study demonstrates the effectiveness of the HCU in managing patients with complex chronic diseases through a multidisciplinary approach. The coordinated care provided by the HCU results in improved patient outcomes, reduced unnecessary hospitalizations, and better management of patient complexity. The superiority of the HCU compared to standard care is evident in key outcomes such as fewer readmissions and higher patient satisfaction, reinforcing its value as a model of care to be replicated.
为应对收治慢性多病患者这一日益严峻的挑战，本研究考察了这些病症给当地医疗系统带来的压力，重点关注一个试点项目。慢性病和复杂患者需要全面的管理策略，以减轻医疗负担并改善患者预后。如果证明有效，这种试点模式有可能在其他医疗环境中推广，以加强对慢性多病患者的管理。
评估高复杂性单元（HCU）通过多学科护理模式管理慢性多病患者的有效性，并将其与标准医院护理进行比较。
本研究采用描述性纵向研究方法，分析基本最小数据集（BMDS）的数据，以比较2022年全年安特克拉医院HCU、内科服务部门和其他科室之间的住院变量。HCU专为患有复杂慢性病的患者设计，采用以患者为中心的模式，强调多学科护理和出院后的连续性。
本研究采用描述性纵向研究方法，分析BMDS的数据，以比较2022年全年安特克拉医院HCU、内科服务部门和其他科室之间的住院变量。HCU专为患有复杂慢性病的患者设计，采用以患者为中心的模式，强调多学科护理和出院后的连续性。
本研究证明了HCU通过多学科方法管理复杂慢性病患者的有效性。HCU提供的协调护理可改善患者预后，减少不必要的住院，并更好地管理患者的复杂性。与标准护理相比，HCU在关键结果方面的优势明显，如再入院率降低和患者满意度提高，这强化了其作为一种可推广护理模式的价值。
