Cardiology One-Stop-Service Changing Approach to Improve Appropriateness

Abstract

Health needs, prevention, the increase of survivors, defense medicine are main factors contributing to the increase of specialistic examinations and instrumental exams with the consequence of inappropriateness increase, organization not always able to give the right answers to the patients and increase of unsatisfaction and inconvenience in the patients. The proposal presented in this paper is based on Cardiologist and General Practitioner cooperation agreement that on one side proposes a problem-approach of specialistic consultation and on the other side the availability of the Cardiologist to take the responsibility of the patient’s pathway until it will be closed by a diagnosis or a therapeutical intervention. In this way, the offer for the patient is not the performed exams and its conclusion but the problem solution to his health need.