Resumen:
Objectives: RECALSEEN project aims to analyze the structure, activity, and outcomes of the departments of endocrinology and nutrition (S-U EyN) of the Spanish National Health System (SNHS). Based on the results obtained, the challenges for the specialty are analyzed and proposals for improvement policies are made. In this paper 2021 survey data and activity data from the 2007-2019 from the Minimum Basic Data Set (MBDS) are presented.Material and methods: Cross-sectional descriptive study of the S-U EyN of acute general hospitals of the NHS in 2020. Data were obtained through: 1. an ad hoc survey answered by the S-U EyN' consultants; and 2. analysing the acute general hospital discharges from S-U EyN and discharges with endocrine-metabolic comorbidities registered in the minimum basis data set (MBDS) of the SNHS.Results: 112 responses from S-U EyN were obtained from a total of 154 general acute hospitals of the NHS (73%). The 2021 S-U EyN sample includes 24 more centers than in 2017. 54% of the S-U EyN were endocrinology departments. The median number of endocrinologists per S -U EyN was 7. The estimated rate of endocrinologists was 2.5 per 100,000 inhabitants. S-U EyN showed a high level of collaboration with primary care teams and other hospital units. Use of telemedicine by S-U EyN experienced a high increase in 2020. Notable differences in resources and activity have been found between hospitals and Autonomous Communities. There was a wide margin for improvement in quality management. Conclusions: RECALSEEN is a useful project for the analysis of S-U EyN. The remarkable vari-ability found in the indicators of structure, activity and management probably indicates a wide margin for improvement. (c) 2023 SEEN and SED. Published by Elsevier Espan similar to a, S.L.U. All rights reserved.
