home. Specialized care Article 13 of the Law of Cohesion regulates characteristics of health care offered in Spain by medical specialists, which is provided at the request of primary care physicians. This may be in-patient hospital care or out-patient consultation at specialist centers or day hospitals. It includes care, diagnosis, therapy, rehabilitation and certain preventive care, as well as health promotion, health education and prevention of illness whose nature makes it appropriate to handle at this level. Specialized care guarantees the continuity of integrated patient care once the capabilities of primary care have been exhausted and until matters can be returned to that level. Insofar as patient condition allows, specialized care is offered in out-patient consultation and in day hospitals. As of 2010, Spain recognizes fifty distinct medical specialties. Social-health care Article 14 of the Law of Cohesion defines social-health care (atención sociosanitaria) as the combination of care for those patients, generally those with a chronic illness, whose would benefit from the simultaneous and synergistic provision of health services and social services to increase their personal autonomy, palliate their limitation or hardships, and facilitate their social reinsertion. This group includes: a) Longterm health care. b) Health care connected to convalescence. c) Rehabilitation after illness Registered health professionals 2000 data from the INE (Spain's National Institute of Statistics) counts 616,232 individuals credentialed by a professional association as health care professionals. The largest number of these are nursing professionals; that is also the profession with the highest percentage of women. The following table is a breakdown of some of the INE statistics. No exact breakdown is available to indicate what number of these might be related to mental health and psychotherapy or clinical psychology. Health establishments Healthcare centers Royal Decree 1277/2003, of 10 October, establishes the general bases for authorization of health centers, services and establishments. It defines "healthcare center" (centro sanitario) as the organized combination of technical means and installations in which trained professionals, identified by their official certification or professional qualification, undertake basic health care activities with the purpose of improving people's health. These may be integrated into one or more health services, which constitute its healthcare portfolio. Consultorios Certain healthcare centers (centros sanitarios) are referred to as consultorios, a term roughly equivalent to British English "surgery" or American English "doctor's office." These are offices that, while not full-fledged health centers (centros de salud), nonetheless provide care beyond primary care.