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espanolEl envejecimiento poblacional y la mayor expectativa de vida desencadenan un cambio en las necesidades asistenciales de todos los Sistemas de Salud. En la provincia de Ourense la tasa de envejecimiento es la mas alta de la autonomia gallega alcanzando un 29.5 % de personas mayores de 65 anos, lo estimado para Europa en el ano 2050. Ante esa realidad desde el Servicio de Medicina Interna del Complexo Hospitalario Universitario de Ourense se impulsan cambios en la asistencia sanitaria a la poblacion, proponiendo un modelo mixto que aglutina la experiencia de las unidades clinicas de atencion medica integral desarrolladas en Andalucia y la forma de trabajo de las unidades de pluripatologia. EnglishThe aging process of the population and the increase of life expectancy triggered a change in the health care needs of all Health Systems. The aging rate of the region of Ourense is the highest one among the regions in Galicia. It reaches 29.5% of people over 65 years which is the predicted percentage for Europe in 2050. Having this evidence into account, the Internal Medicine Service of the University Hospital Complex of Ourense promotes changes in health care population, suggesting a mixed model that brings together the experience of clinical units for total medical treatment developed in Andalucia, and the way of working in comorbidity units.

La organización de la asistencia sanitaria a pacientes crónicos con pluripatología: La experiencia de Ourense