Introduction : In this paper doubtfulness with that Department of Internal Diseases faces, regarding characteristics of patients situated in old folks’ homes and settled down, upon their visit in Urgent internal clinics, is discussed. Goal of investigation : To investigate how great is a deal of patients seeking medical care, who are settled in old folks’ homes and found a home in families, visiting urgent internal clinics for outpatients with diagnoses of pneumonia, dehydration, sepsis, urological sepsis, and to explore to what degree hospitalization of these patients influences on quality indicators and efficiency from aspect of Croatian Health Insuarance Agency (HZZO). Methods and Examinees : The examinees were all the patients who visited Urgent internal clinics for outpatients, and were hospitalized because of pneumonia, dehydration, sepsis,that were lodged in old folks’ home or settled in families. The data were collected retractively from medical documentation. Results : One hundred examinees participated in the investigation. In 31 % of cases at examinees urosepsis and sepsis was diagnosed, 23 % were dehydrated, 18 % had pneumonia. According to kind of accomodation, it is obvious that 60 % were placed in old folks’ home, 72 % of them in private ones. During hospitalization 21 % of examinees received antibiotics from spare list of medication, and 4 % of them had code Z 51.5 assigned at admission. Elaborating given data it was concluded that a value of prescribed media was exceeded, so hospital did not realized additional financial benefit. Conclusion : Analyzing given data it can be seen that examinees settled in private old folks’ homes were hospitalized because of sepsis and dehydration, and more than half of them was re-hospitalized. Very little of them were detected as palliative patients at admission, a great deal of them during hospitalization received antibiotics from a spare list, with a high percentage of lethal outcomes in time of hospitalization. Taking all these data into consideration, the proper national median was not achieved.