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| Título | Clinical processes in a high resolution clinic of specialist outpatient clinics |
|---|---|
| Autores | Zambrana-Garcia, J. L. , TORRES JIMÉNEZ, MERCEDES, Rubio-Sanchez, J. M. , Montijano-Cabrera, A. , Pena-Ojeda, J. A. , Velasco-Malagon, M. J. |
| Publicación externa | No |
| Medio | Rev Calid Asist |
| Alcance | Article |
| Naturaleza | Científica |
| Cuartil SJR | 3 |
| Impacto SJR | 0.196 |
| 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 |
| Fecha de publicacion | 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.\n 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.\n 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.\n 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. |
| Palabras clave | Ambulatory care; Organisational efficiency; Time management |
| Miembros de la Universidad Loyola |