Organization and management of clinical nutrition in Spain. How do we assess the quality of our activities?

Tomás Martín Folgueras, María Dolores Ballesteros Pomar, Rosa Burgos Peláez, María Victoria Calvo Hernández, Luis Miguel Luengo Pérez, José Antonio Irles Rocamora, Gabriel Olveira, Alfonso Vidal Casariego, Julia Alvarez Hernández

Resumen


Introduction: Among the objectives of the SENPE Management Working Group is the development of knowledge and tools related to the evaluation of health outcomes.

Objectives: To obtain an approximate profile of clinical nutrition in hospitals in Spain, specifically concerning its organization, endowment, activities and quality indicators.

Methods: 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.

Results: 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.

Conclusions: 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


Palabras clave


Quality of health care. Quality indicators of health care. Malnutrition. Organization and administration.

Texto completo:

PDF (English)

Referencias


Martín Folgueras T, Alvarez Hernández J, Burgos Peláez R, Celaya Pérez S, Calvo Hernández MV, García de Lorenzo A, García Luna PP, Irles Rocamora JA, Lajo Morales T, Luengo Pérez LM, Mellado Pastor C, Olveira Fuster G, Pérez Portabella C, Vidal Casariego A; Grupo de Trabajo de Gestión de SENPE. Análisis de la relevancia y factibilidad de indicadores de calidad en las unidades de nutrición. Nutr Hosp. 2012 Jan-Feb;27(1):198-204. doi: 10.1590/S0212-16112012000100024.

SENPE. Proceso De Nutrición Clínica. [Guía de evaluación]. En: http://www.senpe.com/GRUPOS/gestion/PROCESO_DE_NUTRICION_CLINICA.pdf. Consultado 13/13/2015.

Soto A, Tofé S, León M, García-Luna PP. Estudio sobre la situación organizativa y asistencial de la nutrición clínica hospitalaria en España: de 1995 a 2001. Endocrinol Nutr 2003; 50(1): 8-13.

Senkal M, Dormann A, Stehle P, Shang E, Suchner U. Survey on structure and performance of nutrition-support teams in Germany. Clin Nutr. 2002 Aug;21(4):329-35.

Ravasco P, Martins P, Ruivo A, Camilo ME. Survey on the current practice of nutritional therapy in Portugal. Clin Nutr. 2004 Feb;23(1):113-9.

Shang E, Hasenberg T, Schlegel B, Sterchi AB, Schindler K, Druml W, Koletzko B, Meier R.An European survey of structure and organisation of nutrition support teams in Germany, Austria and Switzerland. Clin Nutr. 2005 Dec;24(6):1005-13. Epub 2005 Sep 6.

Jonkers C, Lochs H, Lerebours E, Meier R, Messing B, Soeters PB. Survey to establish the current status of artificial nutritional support in Europe.Clin Nutr. 1999 Jun;18(3):179-88.




DOI: http://dx.doi.org/10.20960/nh.911

Enlaces refback

  • No hay ningún enlace refback.