Advanced Search

Home > Journals > Minerva Medica > Past Issues > Minerva Medica 2001 April;92(2) > Minerva Medica 2001 April;92(2):79-84

ISSUES AND ARTICLES   MOST READ   eTOC

CURRENT ISSUEMINERVA MEDICA

A Journal on Internal Medicine

Indexed/Abstracted in: Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,236

Frequency: Bi-Monthly

ISSN 0026-4806

Online ISSN 1827-1669

 

Minerva Medica 2001 April;92(2):79-84

    ORIGINAL ARTICLES

One year of activity of the gastroentero-hepatology outpatients clinical of Turin. The 'working teams' organization

Pellicano R., Ponzetto A., Astegiano M., Smedile A., Saracco G., Durazzo M., Balzola F., Berrutti M., Lavezzo B., Ponti V., Morgando A., Ciancio A., Rizzetto M., Palmas F.

Background. Digestive diseases (GI) have a major impact on public health in Italy. Hospital stay for digestive pathologies parallels that due to cardiovascular causes. Total mortality for GI causes is also very high. The management of GI pathologies is therefore a major task for the National Health System. To the experienced gastroenterologist it is clear that a large number of hospitalisation is linked to a lack of careful outpatient follow-up of diseases such as cirrhosis, ulcerative colitis and peptic ulcer.
Methods. One year of activity of our Gastro-entero-Hepatology outpatient service is examined. The management of the majority of GI diseases is organized in ''working teams'' of physicians and surgeons following cohorts of patients suffering of a specific disease. Results. During the year 2000 not only a statistically significant higher number of patients has been examined (p<0.05), in comparison with 1994, but also the hospitalisation rate was lowered resulting in a very significative cost-containment.
Conclusions. The specialization of outpatient activities into ''working teams'' offers advantages in terms of more appropriate medical care and cost reduction, partly due to a less frequent hospitalisation. The obvious counterpart was an increase of request of such form of follow-up from patients, resulting in longer delay to the access.

language: Italian


FULL TEXT  REPRINTS

top of page