Unique (or high resolution) consultation in Hospital and Primary Care pediatric centres: an instrument of improvement in health care quality
Javier González de Diosa
aServicio de Pediatría. Hospital General Universitario de Alicante. Departamento de Pediatría. Universidad Miguel Hernández. ISABIAL-Instituto de Investigación Sanitaria y Biomédica de Alicante. Alicante. España.
Correspondence: J González. E-mail: firstname.lastname@example.org
Reference of this article: González de Dios J. Unique (or high resolution) consultation in Hospital and Primary Care pediatric centres: an instrument of improvement in health care quality. Rev Pediatr Aten Primaria. 2005;7:21-31.
Published in Internet: 31-03-2005 - Visits: 6396
Unique (or high resolution) consultation aims at resolving the health problem of a patient
in only one day, as an efficiency alternative to conventional outpatients consultations (in hospitals
and primary health care centres). The objective is to make a diagnostic and therapeutic
approach in the shortest time possible, empowering the first visits and reducing the second
ones. For a standard consultation in the traditional model it would be necessary 3 days of health
care attendance (one for the first visit, another for the complementary tests, and the third
one for results and treatment), while unique consultations only need one day. We comment
the advantages and disadvantages of unique (or high resolution) consultation in our health care
pediatric context, like an instrument of improvement in health care quality: increases the satisfaction of the patients, improves the accessibility and reduces costs, and it has not been
proved that it decreases the effectiveness, efficiency and security. The important question in
this new model of outpatient consultations is if it is feasible in the actual health care system,
with the complexity and over utilization of hospital and primary care pediatric centers.
Keywords● Health care quality ● High-Resolution, One-Stop ● Paediatrics ● Unique consultation