Allergy medical care network: A new model of care for specialties

作者：Ferre Ybarz L^*; Salinas Argente R; Nevot Falco S; Gomez Galan C; Franquesa Rabat J; Trape Pujol J; Oliveras Alsina P; Pons Serra M; Corbella Viros X

来源：Allergologia et Immunopathologia, 2015, 43(1): 48-56.

DOI：10.1016/j.aller.2013.09.015

• Allergology
• Care network
• Cost
• Management
• Strategic plan

In 2005 the Althaia Foundation Allergy Department performed its daily activity in the Hospital Sant Joan de Deu of Manresa. Given the increasing demand for allergy care, the department's performance was analysed and a strategic plan (SP) for 2005-2010 was designed.
The main objective of the study was to assess the impact of the application of the SP on the department's operations and organisational level in terms of profitability, productivity and quality of care.
Material and methods: Descriptive, retrospective study which evaluated the operation of the allergy department. The baseline situation was analysed and the SP was designed. Indicators were set to perform a comparative analysis after application of the SP.
Results: The indicators showed an increase in medical care activity (first visits, 34%; successive visits, 29%; day hospital treatments, 51%), high rates of resolution, reduced waiting lists. Economic analysis indicated an increase in direct costs justified by increased activity and territory attended. Cost optimisation was explained by improved patient accessibility, minimised absenteeism in the workplace and improved cost per visit.
Conclusions: After application of the SP a networking system was established for the allergy speciality that has expanded the territory for which it provides care, increased total activity and the ability to resolve patients, optimised human resources, improved quality of care and streamlined medical costs.

• 出版日期2015-2