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[Internal medicine consultation].

Natália C Marto1, Carmen Marques, Júlio C Almeida

  • 1Serviço de Medicina, Hospital de São José, Lisboa.

Acta Medica Portuguesa
|June 9, 2005
PubMed
Summary
This summary is machine-generated.

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Internal Medicine consultations are crucial but underestimated. Quantifying this workload reveals significant demand, particularly from surgical services, highlighting the need for dedicated general medicine consultation services.

Area of Science:

  • Internal Medicine
  • Medical Services Evaluation

Background:

  • Internal Medicine consultations are vital but often unquantified and underestimated.
  • Assessing the workload of these consultations is essential for understanding departmental activity.

Purpose of the Study:

  • To quantify and analyze the characteristics of Internal Medicine consultations.
  • To evaluate the workload and impact of consultation services.

Main Methods:

  • Prospective study analyzing 556 consecutive consultations over 12 months.
  • Data collection on request timing, urgency, source departments, and patient pathology.

Main Results:

  • Over 50% of requests received after 4 p.m., 18% urgent; 96.8% answered same-day.

Related Experiment Videos

  • Top referring departments: Orthopaedics & Trauma (33%), General Surgery (18%), Surgical Intermediate Care (17%).
  • Cardiovascular, infectious, and neurological conditions were most common; direct physician contact missed in 54% of cases during regular hours.

    • Conclusions:

    • Internal Medicine consultation represents a significant workload for internists.
    • Results underscore the necessity of establishing dedicated general medicine consultation services.
    • Integration of consultation activity into educational programs is recommended.