title: [Clinical processes in a high resolution clinic of specialist outpatient clinics].
abstract: OBJECTIVE
  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.
  
  
  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.
  
  
  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.
  
  
  CONCLUSIONS
  Medical consultations may largely benefit from an HRC system, only requiring some organisational changes and no additional costs.
authors: Línea de Procesos Médicos, Hospital de Montilla, Montilla (Córdoba), España. Electronic address: jlzambrana@ephag.es.
authors: J L
authors: JL
authors: Zambrana-García
authors: Departamento de Métodos Cuantitativos, Universidad Loyola Andalucía, España.
authors: M
authors: M
authors: Torres-Jiménez
authors: Línea de Procesos Médicos, Hospital de Montilla, Montilla (Córdoba), España.
authors: J M
authors: JM
authors: Rubio-Sánchez
authors: Línea de Procesos Médicos, Hospital de Montilla, Montilla (Córdoba), España.
authors: A
authors: A
authors: Montijano-Cabrera
authors: Línea de Procesos Médicos, Hospital de Montilla, Montilla (Córdoba), España.
authors: J A
authors: JA
authors: Peña-Ojeda
authors: Línea de Procesos Médicos, Hospital de Montilla, Montilla (Córdoba), España.
authors: M J
authors: MJ
authors: Velasco-Malagón
mesh_terms: D000553:Ambulatory Care / Q000592:standards*; D000554:Ambulatory Care Facilities; D003695:Delivery of Health Care / Q000592:standards*; D017598:Efficiency, Organizational; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged
keywords: Administración del tiempo; Ambulatory care; Consultas ambulatorias; Eficiencia organizacional; Organisational efficiency; Time management