Title Clinical processes in a high resolution clinic of specialist outpatient clinics
Authors Zambrana-Garcia, J. L., TORRES JIMÉNEZ, MERCEDES, Rubio-Sanchez, J. M., Montijano-Cabrera, A., Pena-Ojeda, J. A., Velasco-Malagon, M. J., TORRES JIMÉNEZ, MERCEDES
External publication No
Means Rev. Calidad Asist.
Scope Article
Nature Científica
SJR Quartile 3
SJR Impact 0.19600
Area International
Web https://www.scopus.com/inward/record.uri?eid=2-s2.0-84994101810&doi=10.1016%2fj.cali.2016.09.002&partnerID=40&md5=9ec7b951b61998f19e700e5dffb2c79e
Publication date 01/03/2017
ISI 000407258700004
Scopus Id 2-s2.0-84994101810
DOI 10.1016/j.cali.2016.09.002
Abstract Objectives: The high resolution clinic (HRC) is an outpatient care process by which treatment and diagnosis are established, recorded, and completed in a single day. The aim of this study was to assess the extent to which patients with medical conditions may benefit from a single consultation system. Material and methods: A descriptive study of 795 first visit events, randomly selected as high resolution consultations in cardiology, gastroenterology, internal medicine, and chest diseases. A discussion is presented on the percentage of patients who benefited from HRC and the complementary tests performed. Results: A total of 559 (70%, 95% CI: 67-73%) of all first visits became HRCs, and 483 (61%, 95% CI: 57%-64%) required a diagnostic test that was reviewed on the same day. There were differences between medical consultations (86% in cardiology versus 44% in gastroenterology consultations, P<.001). Performing a test on the same day significantly increased the percentage of HRCs (49 versus 22%, P<.001). Ischaemic heart disease, dyspepsia, headache, and asthma were the conditions most commonly leading to HRC. The most common tests were cranial tomography, blood analysis, and ultrasound. Conclusions: Medical consultations may largely benefit from an HRC system, only requiring some organisational changes and no additional costs. (C) 2016 SECA. Published by Elsevier Espana, S.L.U. All rights reserved.
Keywords Ambulatory care; Organisational efficiency; Time management
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