Revista clinica espanola · 2026
Activity of internists in the care of oncology patients in Spain in 2025.
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García-Villa A, Marco-Hernández J, Macía-Rodríguez C, Villacé Gallego P, Heredia-Mena C, Viladot M, Medina Ortega L, Fernández-Fernández E P, Montero-Ruiz E, Teigell-Muñoz F J
Аннотация
INTRODUCTION: The prevalence of cancer has increased, together with greater patient complexity. In this context, the involvement of hospitalists in the care of patients with solid tumours has grown in recent years. The aim of this study is to describe the activity of hospitalists in the care of patients with cancer in Spain.
MATERIALS AND METHODS: A cross-sectional study based on a cohort comprising all public hospitals and the main private hospitals of Spain was performed. Information was collected through a survey completed by hospitalists and oncologists in January and February 2025.
RESULTS: Responses were obtained from 188 of the 481 hospitals (39.1%), representing 51.2% of public centres and 16.7% of private ones. In 181 centres, patients with cancer were admitted for inpatient care: this responsibility fell to the Department of Oncology in 56.4% of centres and to Department of Internal Medicine in 43.6%. Among centres where patients were admitted under the Department of Oncology, a hospitalist was part of the inpatient ward team ("co-management" model) in 37.3% of cases. Overall, in 64.5% of centres, oncology patients were admitted to wards staffed by hospitalists, either through direct Internal Medicine care or through the "co-management" model.
CONCLUSION: Hospitalists play a key role in the care of oncology patients in Spain, particularly in inpatient wards. The widespread involvement of hospitalists supports recognizing this work as a structural component of oncology patient care, as well as their active participation in multidisciplinary teams.
MATERIALS AND METHODS: A cross-sectional study based on a cohort comprising all public hospitals and the main private hospitals of Spain was performed. Information was collected through a survey completed by hospitalists and oncologists in January and February 2025.
RESULTS: Responses were obtained from 188 of the 481 hospitals (39.1%), representing 51.2% of public centres and 16.7% of private ones. In 181 centres, patients with cancer were admitted for inpatient care: this responsibility fell to the Department of Oncology in 56.4% of centres and to Department of Internal Medicine in 43.6%. Among centres where patients were admitted under the Department of Oncology, a hospitalist was part of the inpatient ward team ("co-management" model) in 37.3% of cases. Overall, in 64.5% of centres, oncology patients were admitted to wards staffed by hospitalists, either through direct Internal Medicine care or through the "co-management" model.
CONCLUSION: Hospitalists play a key role in the care of oncology patients in Spain, particularly in inpatient wards. The widespread involvement of hospitalists supports recognizing this work as a structural component of oncology patient care, as well as their active participation in multidisciplinary teams.