The one-stop clinic as the standard of out-patient care in a hospital urology department
Int. braz. j. urol
; 37(5): 623-629, Sept.-Oct. 2011. tab
Article
in English
| LILACS
| ID: lil-608131
Responsible library:
BR1.1
ABSTRACT
PURPOSE:
To evaluate the performance of a 'one-stop' clinic in terms of proportion of discharges or inclusion in surgical waiting lists. MATERIALS ANDMETHODS:
All patients were referred from primary care facilities (population 220.646) and from different departments in the hospital. Eight senior urologists, two registered nurses and two nurse attendants participated in the experience. Prior to the start of the project, referral protocols had been agreed with the primary care physicians involved. Compliance with the protocols was periodically tested. Eventually 5537 first visits (January-December 2009) where evaluable.RESULTS:
Overall, the 'one-stop' format proved feasible in 74.2 percent of the patients (4108/5537). Patients, who successfully used the 'one-stop' format, were significantly younger than those who required additional consultations (43 vs 50 years old, respectively, Student's t test < 0.001). For obvious reasons the 'one-stop' format was universally possible in male sterilization and penile phimosis patients. Similarly, the 'one-stop' policy was applied in most consultations due to male sexual dysfunction (75 percent) and urinary tract infection (73 percent). Other health problems, such as haematuria (62 percent) and renal colic (46 percent), required more than one visit so that care of the patient reverted to the traditional, outpatient care model.CONCLUSION:
A 'one-stop' philosophy is feasible for a number of procedures in a urological outpatient clinic. The costs to implement such an approach would be limited to managerial expenditure.
Full text:
Available
Collection:
International databases
Health context:
SDG3 - Target 3.8 Achieve universal access to health
Health problem:
Delivery Arrangements
Database:
LILACS
Main subject:
Outpatient Clinics, Hospital
/
Primary Health Care
/
Urologic Diseases
/
Urology Department, Hospital
Type of study:
Practice guideline
/
Prognostic study
Limits:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
Country/Region as subject:
Europa
Language:
English
Journal:
Int. braz. j. urol
Journal subject:
Urology
Year:
2011
Document type:
Article
Affiliation country:
Spain
Institution/Affiliation country:
Universidad Rey Juan Carlos/ES