Factores que influyen en la solicitud de interconsultas a medicina interna por los servicios quirúrgicos

Ruiz, Eduardo Montero; Sánchez, Laura Pérez; Ayerbe, Cristina Gómez; Allende, J.M. Barbero; Sánchez, Marta Eulalia García; Álvarez, Joaquín López

doi:10.1016/j.ciresp.2010.12.008

Cited by 23 publications

(4 citation statements)

References 14 publications

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“…1 On the other hand, the development of outpatient and short-stay surgery enables many patients to return home a few hours after an operation or to remain in hospital for very brief periods. As a result, patients remaining in hospital after surgery are of increasing age, comorbidity and complexity, making the surgeons work more difficult.…”

Section: Introductionmentioning

confidence: 99%

Effect of co-management with Internal Medicine on hospital stay in Ophthalmology

Ruiz

Merino

Cervero

et al. 2015

Archivos de la Sociedad Española de Oftalmología (English Editi

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Section: Introductionmentioning

confidence: 99%

Effect of co-management with Internal Medicine on hospital stay in Ophthalmology

Ruiz

Merino

Cervero

et al. 2015

Archivos de la Sociedad Española de Oftalmología (English Editi

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“…Hence, the rising prevalence of multimorbid patients has led to an increased involvement of more than one medical specialty in the care of a hospital patient. Especially a consult to Internal Medicine in a surgical patient is common [ 4 , 5 ]. A study found that up to 86% of all consult requests to the Internal Medicine team in a Spanish hospital came from a surgical department [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Asking the generalist – evaluation of a General Practice rounding and consult service

Schmalstieg-Bahr,

MacDonald,

Pohontsch

et al. 2024

BMC Prim. Care

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Background Vascular surgery patients admitted to the hospital are often multimorbid. In case of questions regarding chronic medical problems different specialties are consulted, which leads to a high number of treating physicians and possibly contradicting recommendations. The General Practitioner´s (GP) view could minimize this problem. However, it is unknown for which medical problems a GP would be consulted and if regular GP-involvement during rounds would be considered helpful by the specialists. The aim of this study was to establish and describe a General Practice rounding service (GP-RS), to evaluate if the GP-RS is doable in a tertiary care hospital and beneficial to the specialists and to explore GP-consult indications. Methods The GP-RS was established as a pilot project. Between June-December 2020, a board-certified GP from the Department of General Practice and Primary Care, University Medical Center Hamburg-Eppendorf (UKE) joined the vascular surgery team (UKE) once-weekly on rounds. The project was evaluated using a multi-methods approach: semi-structured qualitative interviews were conducted with vascular surgery physicians that had either participated in the GP-RS (G1), had not participated (G2), other specialists usually conducting consults on the vascular surgery floor (G3) and with the involved GP (G4). Interviews were analyzed using Kuckartz’ qualitative content analysis. In addition, two sets of quantitative data were descriptively analyzed focusing on the reasons for a GP-consult: one set from the GP-RS and one from an established, conventional “as needed” GP-consult service. Results 15 interviews were conducted. Physicians perceived the GP-RS as beneficial, especially for surgical patients (G1-3). Optimizing medication, avoiding unnecessary consults and a learning effect for physicians in training (G1-4) were named as other benefits. Critical voices saw an increased workload through the GP-RS (G1, G3) and some consult requests as too specific for a GP (G1-3). Based on data from 367 vascular surgery patients and 80 conventional GP-consults, the most common reasons for a GP-consult were cardiovascular diseases including hypertension and diabetes. Conclusions A GP-RS is doable in a tertiary care hospital. Studies of GP co-management model with closer follow ups would be needed to objectively improve patient care and reduce the overall number of consults. Trial registration Not applicable.

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“…En los programados fue 57,1 añ os (IC 95% 54,7-59,5) y en los urgentes 60,9 (IC 95% 57, 4 Posiblemente 9 de cada 10 pacientes puede beneficiarse de ACMI. Incluso esta proporció n es mayor, ya que hay enfermos que no cumplen criterios el día del estudio pero que sí lo hará n má s tarde.…”

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“…Es ló gico que uno sea la petició n de ayuda expresada en forma de interconsulta. La discrepancia entre las solicitadas y los pacientes que se beneficiarían de ACMI puede explicarse por los factores que influyen en la solicitud de interconsultas, como la organizació n de las mismas y las cualidades del consultor o del cirujano que la solicita 1,4,5 .…”

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Pacientes quirúrgicos ingresados: asistencia compartida con Medicina Interna

et al. 2012

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Factores que influyen en la solicitud de interconsultas a medicina interna por los servicios quirúrgicos

Cited by 23 publications

References 14 publications

Effect of co-management with Internal Medicine on hospital stay in Ophthalmology

Effect of co-management with Internal Medicine on hospital stay in Ophthalmology

Asking the generalist – evaluation of a General Practice rounding and consult service

Pacientes quirúrgicos ingresados: asistencia compartida con Medicina Interna

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