Economy matters to fight against XXXX : Results from a multicenter survey.

@entity3147 @entity5275 @entity8907
BACKGROUND AND AIM: Malnutrition represents a serious health care threat, as it increases morbidity, mortality and health care cost. The effective screening and treatment with enteral (EN) or @entity5275 ( @entity5275 ) nutrition are the key elements of the policy called Optimal Nutrition Care for All (ONCA). The study tried to analyze the impact of the state's economy on the implementation of EN and @entity5275 to define its role in ONCA. MATERIAL AND METHODS: an international survey in twenty two European countries was performed between January and December 2014. An electronic questionnaire was distributed to 22 representatives of clinical nutrition ( @entity8907 ) societies. The questionnaire comprised questions regarding country economy, reimbursement, education and the use EN and @entity5275 . Return rate was 90.1% (n  =  20). RESULTS: EN and @entity5275 were used in all countries surveyed (100%), but to different extent. The country's income significantly influenced the reimbursement for EN and @entity5275 (p  <  0.05). It was also associated with the overall use of tube feeding and @entity5275 (p  =  0.05), but not with the use of oral nutritional supplements (p  =  0.165). The use of both, EN and @entity5275 at hospitals was not depended on the economy (p  >  0.05). Education was actively carried out in all countries, however the teaching at the pre-graduate level was the least widespread, and also correlated with the country income (p  =  0.042). CONCLUSIONS: Results indicated that economic situation influences all aspects of ONCA, including education and treatment. The reimbursement for EN and @entity5275 seemed to be the key factor of effective campaign against @entity3147 .
