Year 2016 / Volume 108 / Number 1
Original
Efficacy of a high-resolution consultation system in gastroenterology at an Andalusian hospital center

3-7

DOI: 10.17235/reed.2015.3885/2015

José Luis Zambrana-García, María Isabel Montoro Caba, Maite Chicano Gallardo, Ana Monrobel Lancho, Daniel Jesús Pérez de Luque, José Antonio Peña Ojeda, José Manuel Recio Ramírez,

Abstract
Background: By high resolution consultation (HRC) we mean an ambulatory process of assistance fulfilled in a single day, by which treatment and diagnosis are established and recorded. Objective: To assess to which extent patients with digestive conditions may benefit from a single consultation system. Material: A descriptive study of 179 first visit events, randomly selected as high-resolution consultations in gastroenterology. We discuss the percentage of patients who benefited from HRC and the complementary tests performed. Results: Most common conditions included dyspepsia (16%), a family history of colon cancer (16%) and gastroesophageal reflux disease (GERD) (16%). Seventy-nine (44%) of all first visits became HRCs and 80 (45%) required a diagnostic test (100% abdominal ultrasound) that was reviewed on the same day. Performing a test on the same day significantly increased the percentage of HRCs (57% vs. 34%, p < 0.002). GERD, dyspepsia, cholelithiasis and chronic liver disease were the subjects most commonly leading to HRC. Conclusions: Gastroenterology consultations may largely benefit from an HRC system with only organizational changes and no additional costs.
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References
1. Zambrana García JL. Las consultas ambulatorias de especialidades. Presente y perspectivas de futuro. Med Clin (Barc) 2004; 123:257-9.
2. Zambrana García JL, Jiménez-Ojeda B, Marín Patón M et al. La consulta única o de alta resolución como una alternativa de eficiencia a las consultas externas hospitalarias tradicionales. Med Clin (Barc). 2002;118:302-5.
3. Rosa-Jiménez F, Martos Melguizo L, Montijano Cabrera AM et al. Impacto de los sistemas automatizados en un modelo de consulta de alta resolución. An Med Interna (Madrid). 2005;22:511-4.
4. Puente JJ, Rodríguez FJ, Bernal E et al. La consulta de alta resolución en aparato digestivo. Rev And Patología Digestiva 2003; 26: 23-7.
5. Bravo Santervás JM, Zambrana García JL, Ruiz Romero JA et al. Impacto sobre el tiempo de espera del modelo de consulta única en Neumología frente a la consulta convencional. Neumosur 2002;14:187-92.
6. Montijano Cabrera AM, Zambrana García JL, Amat Vizcaíno M et al. Aplicabilidad y aportaciones al sistema de consulta única en cardiología. Rev And Card. 2003;38:69-76.
7. Herrerías Gutiérrez JM, Argüelles Arias F, Martín Herrera L et al. Consulta de alta resolución de digestivo en Andalucía ¿qué es y cómo debe funcionar? Rev Esp Enferm Dig 2008:100:5-10.
8. Puente Gutiérrez JJ, Rodríguez González FJ, Ramírez Aguilar A et al. Papel de la endoscopia digestiva alta en un modelo de alta resolución [abstract]. Gastroenterol Hepatol 2002;25:170-222.
9. Montijano A, Rosa-Jiménez F, Rubio JM, Monrobel A et al. Análisis comparativo de la opinión de los pacientes en las consultas de cardiología de dos hospitales de alta resolución. Rev And Cardiol. 2005;40:163-8.
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Zambrana-García J, Montoro Caba M, Chicano Gallardo M, Monrobel Lancho A, Pérez de Luque D, Peña Ojeda J, et all. Efficacy of a high-resolution consultation system in gastroenterology at an Andalusian hospital center. 3885/2015


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Publication history

Received: 09/06/2015

Accepted: 03/08/2015

Online First: 30/11/2015

Published: 30/12/2015

Article revision time: 52 days

Article Online First time: 174 days

Article editing time: 204 days


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