This means that medical services of the State Employees' Social Security and Social Services Institute (Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE)), need to be reorganized to find ways of reducing the time needed to provide global care for each patient.

The strategy for the provision of health care (global care for elderly patients) is designed to bring hospital services closer to patients and to encourage families to participate in their treatment with the help of ongoing medical support based on house calls; these house calls facilitate health protection measures and prevention activities and enable doctors to assess the effects of the treatment without forgetting social and emotional factors.

We have used the number of hospital readmissions as the basic indicator to evaluate impact and improvements in the quality of care.