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
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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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