<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0872-671X</journal-id>
<journal-title><![CDATA[Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Medicina Interna]]></abbrev-journal-title>
<issn>0872-671X</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0872-671X2022000200011</article-id>
<article-id pub-id-type="doi">10.24950/rspmi.213</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Desafios da Referenciação para a Rede Nacional de Cuidados Continuados Integrados: A Experiência num Hospital]]></article-title>
<article-title xml:lang="en"><![CDATA[Challenges of Referrai to the National Network of Continuous lntegrated Gare: The Experience in a Hospital]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[Raquel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferro]]></surname>
<given-names><![CDATA[Ana P.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Camões]]></surname>
<given-names><![CDATA[João Filipe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lopes]]></surname>
<given-names><![CDATA[Carolina Soares]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rocha]]></surname>
<given-names><![CDATA[Céu]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morais]]></surname>
<given-names><![CDATA[Sandra A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Unidade Local de Saúde de Matosinhos Hospital Pedro Hispano Serviço se Medicina Interna]]></institution>
<addr-line><![CDATA[Matosinhos ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Unidade Local de Saúde de Matosinhos Hospital Pedro Hispano Serviço de Medicina Intensiva]]></institution>
<addr-line><![CDATA[Matosinhos ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Unidade Local de Saúde de Matosinhos Hospital Pedro Hispano Equipa de Cuidados Paliativas, Equipa de Gestão de Altas]]></institution>
<addr-line><![CDATA[Matosinhos ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Centro Hospitalar de Trás-os-montes e Alto Douro Hospital de Vila Real Serviço de Medicina Interna]]></institution>
<addr-line><![CDATA[Vila Real ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>06</month>
<year>2022</year>
</pub-date>
<volume>29</volume>
<numero>2</numero>
<fpage>11</fpage>
<lpage>18</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0872-671X2022000200011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0872-671X2022000200011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0872-671X2022000200011&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  Em 2006, a Rede Nacional de Cuidados Continuados Integrados foi criada em Portugal para dar resposta às necessidades de uma população com comorbilidades crescentes. O objetivo deste estudo é avaliar o tempo de hos­pitalização e complicações médicas de doentes referenciados para a rede no mesmo período de quatro anos distintos.  Material e Métodos:  Estudo observacional, retrospetivo, de doentes com patologia médica referenciados do internamento nos meses de abril a junho de 201O, 2012, 2016 e 2019. Dados demográficos, clínicos e referentes à referenciação foram obtidos dos processos clínicos. Análise estatística feita com IBM SPSS Statistics®, p &lt; 0,05 considerado estatisticamente significativo.  Resultados:  Foram incluídos 205 doentes. Os principais motivos de admissão foram infeção (37, 1 %) e evento cerebro­vascular agudo (35,6%) e o de referenciação foi reabilitação funcional (79,5%). Verificou-se um aumento do tempo de internamento ao longo dos anos (p &lt; 0,001) e desde a referenciação até à alta hospitalar, p = 0,04. Após alta clínica, 42,9% desenvolveram complicações médicas e após alta hospitalar pelo menos 31,3% tiveram necessidade de reinternamento até 3 meses após a alta. O número de complicações não aumentou ao longo dos anos.  Discussão:  O incremento nos tempos de hospitalização ao longo dos anos desde a criação da rede implica sobrecarga nos cuidados de saúde hospitalares, mesmo não se verificando o aumento de intercorrências clínicas antes e após a alta. Conclusão: É notória a necessidade de reforçar a rede e o apoio social ao doente crónico e de criar estudos para avaliar o impacto económico e para a saúde da referenciação hospitalar.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  lntroduction:  ln 2006, the National Network for Gontinuing lntegrated Gare was created in Portugal to respond to the needs of a population with growing comorbidities. The aim of this study is to assess the length of hospital stay and medical complications of patients referred to the network in the sarne period of four different years.  Material and Methods:  Observational, retrospective study of medical patients with medical conditions referred from the hospital in the months of April to June 2010, 2012, 2016 and 2019. Demographic, clinical and referrai data were obtained from clinical processes. Statistical analysis was performed with IBM SPSS Statistics®, p &lt; 0.05 was considered statistical/y significant.  Results:  205 patients were included. The main reasons for admission were infection (37.1%) and acute cerebrovascular event (35.6%) and for referrai was functional rehabilitation (79.5%). There was an increase in length of stay over the years (p &lt; 0.001) and from referrai to hospital discharge, p = 0.04. After clinical discharge, 42.9% developed medical complications and after hospital discharge, at least 31.3% needed to be readmitted within 3 months. The number of complications did not rise.  Discussion:  The increase in hospital stays over the years since the creation of the network implies an overload in hospital health care, even though there is no increase in clinical complications before and after discharge.  Conclusion:  There is a clear need to strengthen the network and social support to the chronically ill and to create studies to assess the economic and health impact of hospital referrais.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Hospitalização]]></kwd>
<kwd lng="pt"><![CDATA[Prestação Integrada de Cuidados de Saúde]]></kwd>
<kwd lng="pt"><![CDATA[Tempo de Internamento.]]></kwd>
<kwd lng="en"><![CDATA[Delivery of Health Gare, lntegrated]]></kwd>
<kwd lng="en"><![CDATA[Hospitalization]]></kwd>
<kwd lng="en"><![CDATA[Length of Stay.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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