title: [High resolution for all in the clinics área of a Urology Department].
abstract: OBJECTIVE
  To evaluate the performance of a one-stop clinic in terms of proportion of diagnostic-therapeutic orientation during 2013.
  
  
  METHODS
  All patients were referred from primary care facilities in the district of Fuenlabrada, Madrid, Spain (population 221.705). Previously, referral protocols were agreed. Seven senior urologists participated. 6674 referrals (January-December 2013) were eligible.
  
  
  RESULTS
  4534 referrals (4535/6674, 68%) were eventually evaluable. Patients taking advantage of the one-stop format were significantly younger than those needing extra consultations (chi2<0,001). Overall, reasons for consultation clearly affected the feasibility of the one-stop approach (chi2<0.001), the one-stop policy being substantiated in most consultations due to subfertility (89.4%), male sexual dysfunction (89.2%), testicular complains (88.3%) and other male genital complains (80.3%). On the contrary, extra consultations were the rule for degenerative diseases of the urinary tract (45%), malignancy (57%) and renal colic pain or urinary lithiasis (63.2%). No relationships could be identified between the referral centre and the feasibility of the one-stop approach (p=ns). The multivariate analysis confirmed the independent effect of the health problem (p<0.001) and patient age (p<0002) on the chances of having a successful one-stop approach.
  
  
  CONCLUSIONS
  a one-stop philosophy should be the standard for all patients in urology clinics.
authors: Servicio de Urología. Hospital Universitario de Fuenlabrada. Madrid.
authors: Álvaro
authors: Á
authors: Páez
authors: Roberto
authors: R
authors: Molina
authors: Natalia
authors: N
authors: González
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006748:Hospital Departments / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011785:Quality Assurance, Health Care; D014570:Urologic Diseases / Q000628:therapy; D014572:Urology; D055815:Young Adult