Creighton F A, Bailey R H
Department of Medicine, Case Western Reserve University, Cleveland, OH, USA.
Med Group Manage J. 1999 Jul-Aug;46(4):40-6, 48.
Medical centers throughout the country are employing hospitalists--dedicated inpatient specialists--to care for patients during hospitalization in place of their primary care provider. There has been expansive growth of hospitalist programs as the number of practicing hospitalists has doubled in two years from approximately 1,500 to over 3,000. In July 1997, the department of medicine at University Hospitals of Cleveland, the primary teaching affiliate of Case Western Reserve University, created a hospitalist service. This paper will discuss the design of a hospitalist service at a major academic medical center, the factors that were considered during the design stage and financial feasibility.
美国各地的医疗中心都在聘用住院医师——专门负责住院患者的专科医生——在患者住院期间照料他们，取代其初级保健医生的工作。随着执业住院医师的数量在两年内从约1500人增加一倍至超过3000人，住院医师项目得到了广泛发展。1997年7月，凯斯西储大学的主要教学附属医院——克利夫兰大学医院的内科设立了住院医师服务项目。本文将讨论一家大型学术医疗中心的住院医师服务项目设计、设计阶段所考虑的因素以及财务可行性。
