Sandison A J, King D H, Padayachee T S, Taylor P R
Department of Surgery, United Medical School of Guy's Hospital, London.
Ann R Coll Surg Engl. 1997 Nov;79(6):447-50.
One-stop clinics are becoming increasingly popular with both patients and their general practitioners. Traditionally, vascular patients have needed to attend hospital two or three times for clinical examination and investigations. We have introduced a one-stop clinic for patients with lower limb arterial disease (LLAD) and aortic aneurysms. In 92 clinics over 2 years, 1194 new patients and 1409 follow-up patients were seen, with LLAD being the largest single category comprising 40% of the patients seen, followed by varicose veins (25%), carotid disease (12%), and aortic aneurysms (8%). Overall, 57% of patients had non-invasive imaging performed, either in the clinic or on a separate visit. Performing all LLAD and aortic scans in the clinic requires 1.9 h of imaging time per clinic. Extending in-clinic scanning to patients with varicose veins and carotid disease would increase this to 3.9 h of scanning per clinic and require a duplex scanner and an additional technologist in the clinic.
一站式诊所越来越受到患者及其全科医生的欢迎。传统上，血管疾病患者需要前往医院两到三次进行临床检查和检测。我们为下肢动脉疾病（LLAD）和主动脉瘤患者开设了一站式诊所。在两年多的时间里，在92个诊所接待了1194名新患者和1409名随访患者，其中LLAD患者是最大的单一类别，占就诊患者的40%，其次是静脉曲张（25%）、颈动脉疾病（12%）和主动脉瘤（8%）。总体而言，57%的患者在诊所或单独就诊时接受了非侵入性成像检查。在诊所对所有LLAD和主动脉进行扫描，每个诊所需要1.9小时的成像时间。将诊所内扫描扩展到静脉曲张和颈动脉疾病患者，每个诊所的扫描时间将增加到3.9小时，并且需要一台双功扫描仪和诊所内额外的技术人员。
