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Rev Clin Esp. 2017 Dec;217(9):526-533. doi: 10.1016/j.rce.2017.06.003. Epub 2017 Jul 19.

The Internal Medicine of the 21st century: Organizational and operational standards.

[Article in English, Spanish]

Author information

Servicio de Medicina Interna, Hospital Universitario Lucus Augusti, Lugo, España. Electronic address:
Servicio de Medicina Interna, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España.
Fundación Instituto para la Mejora de la Asistencia Sanitaria (IMAS), Madrid, España.


The Spanish Society of Internal Medicine has developed a consensus document on the standards and recommendations that they consider essential to the organisation of internal medicine units for conducting their activities efficiently and with high quality. We defined 3 groups of key processes: the care of acutely ill adult patients, the comprehensive care of complex chronic patients and the examination of a patient with a difficult diagnosis and no organ-specific disease. As support processes, we identified the structure and operation of the Internal Medicine units. As strategic processes, we identified training and research. The main subprocesses are structured below, and we established the standards and recommendations for each of them. Lastly, we proposed resulting workloads. The prepared standards must be reviewed within a maximum of 4 years.


Estándares; Healthcare processes; Internal Medicine units; Procesos asistenciales; Sociedad Española de Medicina Interna; Spanish Society of Internal Medicine; Standards; Unidades de Medicina Interna


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