| Autores |
Zambrana-Garcia, J. L. , TORRES JIMÉNEZ, MERCEDES, Rubio-Sanchez, J. M. , Montijano-Cabrera, A. , Pena-Ojeda, J. A. , Velasco-Malagon, M. J. |
| 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. |
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