Medical and Health Project

Internal Medicine (IM) is the medical specialty hospital character preferably longer tradition. Internists are formed under the principle that any disease or clinical problem in adults is outside his purview and responsibility. This attitude promotes active participation in most of the challenges of care: clinical care and management, creation and development of several medical specialties and health care to new areas.

The internist as a guarantor of comprehensive care in the hospital environment is pivotal to health care focused on the overall needs of the person and is able to keep as a reference to specific diseases or new . In clinical practice there are various factors conditioning the variability in clinical practice, the growing expectations of citizens, the vast technological innovation and economic framework of public services, management and control which justifies the necessary existence of the management of intellectual resources human, technological and organizational best care for the sick .

Existing resources to cover health expenditures are limited and can not grow indiscriminately and also the demands of the citizens will continue to grow with an aging population and the development of new technologies . Acknowledging the imbalance between demand and available public resources which can lead to medicine is economically and politically unsustainable, the answer to these problems should not only focus on trying to improve the efficiency of organizational measures and productivity management-simple means-but in the end, the aims of medicine beyond the usual beat any illness and prevent death with the use of resources and appropriate technology, which is a bias toward healing the detriment of care.

Internal Medicine units are essential hospital services that are integrated into all hospital levels.

At any level of performance provided the Internal Medicine Department is the sickest comply within medical specialties, but even when the hospital is smaller (since 26% of medical higher to 8.5%) which also the average stay is less (gross average stay from 10.1 to 14 days) (7.8). The other medical specialties primarily provide diagnostic procedures and therapeutic as patient care during hospitalization may depend exclusively on the internists who have recourse to other specialties just clarify when a procedure or as interconsultation to specific problems, always model according to the hospital and its features.

PORTFOLIO SERVICES, BENEFITS AND SCOPE OF PRACTICE

The Internal Medicine Department’s mission is specialized, comprehensive care of patients in internal medicine with special attention to the most common medical conditions affecting the adult population of the environment or care area assigned.
Essentials are the inclusiveness, interest in the epidemiology and prevention as well as teaching and research content, all within an ethical, quality and safety. Doctors at the unit should be able to attend to:
a) patients without accurate diagnosis or not evident, untargeted processes in an organ or system or febrile syndrome, or complex diseases difficult to diagnose and systemic;
b) sick multimorbidity ( account for 20% of hospital activity),
c) senior citizens or elderly in situations of acute or chronic illness sharpened (at least 50% of hospital admissions of elderly patients is 65 years)
d) patients admitted Special units with infectious diseases, autoimmune systemic VTE, blood diseases, vascular risk, metabolic, liver, etc..,
e) patients in the palliative phase of illness,
f) patients with an emergency or requires urgent attention;
g) patients in the new areas developed as alternatives to conventional hospitalization or traditional (short stay, day hospital, hospital week, hospital at night, home hospitalization, etc.).
h) surgical patients with medical problems and i) patients with rare diseases, without a well-defined specialty that refer to the hospital.