[Instead of vacation at shoal resort, a stay in the hospital--aspects of illness during vacation].

Every summer, the number of hospitalizations for acute deterioration of a chronic disease increases in the Southern Northsea holiday region. These patients usually are holiday-makers coming to the region for recreation. This study analyzes the relationships among acute illness, reason for going on holiday, existing chronic disease, mode of transport/arrival, and consultation of general practitioner beforehand. A total of 62 holiday-makers from the region who had been hospitalized for internal illness were included in the study. 80.6% of them knew to be suffering from a chronic disease. In 41 patients, acute deterioration of their chronic condition within a few days after their arrival had resulted in admission to the hospital. Usually, their doctor had not advised against the intended holiday trip. The study findings indicate that chronically ill patients need individualized counselling about potential medical hazards associated with their chronic condition especially in light of the physical and emotional strains involved in an intended holiday. Also, mention should be made of the possibilities for participating in an organized health-resort programme.