@article{RomerodelaHiguera:57520,
author = "Romero de la Higuera, Silvia Beatriz and Delgado
Marroquín, María Teresa",
title = "{Ética de la relación entre niveles asistenciales: la
Consulta de Alta Resolución}",
year = "2016",
note = "Background: The use of High Resolution Clinics (One-Stop
Clinics) is growing. This is as a response to the high
demand for care from which our health system suffers. The
situation involves other factors such as the lack of
coordination between levels, poor direction in planning,
the high number of inappropriate hospitalizations and the
increase in waiting lists. Aim: To gather information
about these consultations and evaluate their influence on
the improvement of relations between levels within
healthcare, as well as the ethical issues underlying their
implementation and influence on the final result of this
coordination model. Method: A thorough literature review
on the basis of IMB, EMBASE and MEDLINE data was performed.
Studies within the scope of the High Resolution Clinics and
the relationship between the quality of communication
between healthcare levels and the quality of service they
provided were selected. Through a series of screenings, a
total of 54 articles were collected. These articles were
analyzed and evaluated according to their qualities in the
field of communication. Results: Of all the articles
analyzed, only 20 were quantifiable according to their
performance in communications. 12 of them obtained a
relatively positive result and 8 obtained a negative
result. The item which obtained the lowest score in the
evaluation was a strengthening in primary care. In
contrast, the item that obtained the highest score was the
existence of a protocol (although it was not consensual in
all cases). We found flaws in the communication system of
the One-Stop Clinic model that could lead to deficient
long-term outcomes. Conclusions: We have not found
evidence supporting the High Resolution Clinic model as an
improvement in relations between healthcare levels. It is
appropriate and advisable to incorporate measures to
strengthen communication between these levels so that this
model entails real coordination and provides the full
potential in providing quality healthcare to its patients.",
}