The neurosurgical outpatient clinic: comparison between accesses in public and private activities.
BMC Health Serv Res
; 24(1): 137, 2024 Jan 25.
Article
en En
| MEDLINE
| ID: mdl-38267935
ABSTRACT
BACKGROUND:
Neurosurgical clinic assesses presence and extent of pathologies of central and peripheral nervous system or disorders affecting the spine, to identify most effective treatment and possible recourse to surgery. The aim of the study is to evaluate the appropriateness of request for a neurosurgical consult both in private and in public outpatient clinics. MATERIALS ANDMETHODS:
We collected and analyzed all the reports of outpatient visits of public and private clinic over a period between January and December 2018.RESULTS:
There were 0.62% real urgent visits in the public sector and 1.19% in the private sector (p = 0.05). Peripheral pathologies represented 12.53% and 6.21% of pathologies evaluated in public and private sector respectively (p < 0.00001). In addition, 15.76% of visits in public lead to surgery, while they represented 11.45% in private (p = 0.0003).CONCLUSIONS:
No study is available comparing accesses of patients in neurosurgical outpatient clinics. In public clinic, visits are booked as urgent on the prescription of the general practitioner in reality, only 5% of these visits were really confirmed as urgent by the specialist. Peripheral pathologies are more frequent in public clinic, while cranial pathologies are more frequent in private one. Patients with cranial pathologies prefer to choose their surgeon by accessing private clinic.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Médicos Generales
/
Instituciones de Atención Ambulatoria
Límite:
Humans
Idioma:
En
Revista:
BMC Health Serv Res
/
BMC health serv. res. (Online)
/
BMC health services research (Online)
Asunto de la revista:
PESQUISA EM SERVICOS DE SAUDE
Año:
2024
Tipo del documento:
Article
País de afiliación:
Italia