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[Rate of external consultation utilization. Organizational and managerial basis of a urology service]
J Caballero Alcántara1, M Padilla León, C Marchal Escalona
1Unidad de Urología, Hospital Costa del Sol, Marbella.
Introduction:
The frequency of visits to an outpatients office is indicative of the proportion of population to be served at that location.
Material And Method:
Analysis of the frequency of new cases to an outpatients office over one year and correlation with the conditions treated over the corresponding period.
Objectives:
To know the overall frequency of new cases, by condition, affected organ and group of diseases. To know the percentage of surgical resolution of those conditions. To infer from these data the resources necessary in terms of offices, operating theatres and staff
Results:
The outpatients office shows an overall frequency of new cases of 124/10000 people/year. The highest frequencies by condition, affected organ and group of diseases correspond to BPH, inguinoscrotal area and andrology. 35% of all new cases are managed surgically. 17.5% BPHs and 16.4% prostate carcinomas undergo surgery. The necessary resource are inferred to be: 1.5 ambulatory operating theatres/week, 2-2.5 central operating theatres/week. 5-6 office visits/week and 3 urologists.
Conclusions:
The study on the frequency of visits to the outpatients office is a useful tool for the organization and management of the Urology Service.