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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
Minerva Medica 2007 February;98(1):19-23
Gastroenterology outpatient clinic of the Molinette Hospital (Turin, Italy): the 2003-2006 report
Pellicano R., Bonardi R., Smedile A., Saracco G., Ponzetto A., Lagget M., Morgando A., Balzola F., Bruno M., Marzano A., Ponti V., Debernardi Venon W., Ciancio A., Rizzetto M., Astegiano M.
Ambulatori di Gastro-Epatologia S.C.D.U. Gastro-Epatologia Azienda Ospedaliera San Giovanni Battista, Molinette, Torino
Aim. Given the demographic shifts and needs of cost rationalization, it is of high priority to organize health care on the basis of ambulatory outpatients models. The aim of this study was to examine activity at the gastro-hepatology outpatients clinic of the Molinette Hospital. In this facility, the management is based on a work team organization that follows cohorts of patients with specific pathologies.
Methods. All services, consultations and urea breath test (UBT) for the diagnosis of Helico-bacter pylori infection, carried out from January 2003 to December 2006, were extrapolated from the computerized system. Consultations were divided into first examination and controls. Furthermore, the destination of the patients after each consultation was considered.
Results. During the year 2003, 8 842 consultations and 4 071 UBT were carried out, in the year 2004, 11 342 consultations and 2 409 UBT, in the year 2005, 12 474 consultations and 2 510 UBT, in the year 2006, 12 249 consultations and 2 357 UBT. No further specialistic management was required for 25% of patients, while 2% had been hospitalized in the bed unit, 3% in the short hospitalization unit or the day-hospital. The remaining 70% were included in work teams or monitored thereafter. The comparison with consultations from 1994 shows an increase due to both first examination (+300%) and controls (+83%).
Conclusion. The burden of the requests from the population and primary care structures addressed to the outpatients clinic of gastro-hepatology is relevant. The activity of this facility leads to a low rate of hospitalization as well as of cost reduction.