Slim Hanna B, Lundbye Justin B, Thompson Paul D
Hartford Hospital, Hartford, CT 06102, USA.
Conn Med. 2011 Oct;75(9):541-5.
Hospital medicine is the fastest growing medical specialtyin the United States. Time pressures on primary-care physicians in the office and cost pressures on hospitals are the main driving forces behind this movement. Despite initial criticism and skepticism, hospitalist programs have proven cost effective in clinical and academic departments of internal medicine. These programs have recently been used in medical subspecialty departments as well. Hartford Hospital adopted a new specialty hospitalist program in its cardiovascular department. This program grew to become one of the most successful hospitalist programs in the hospital. Since better quality of care at a lower cost is the ultimate goal for any proposed health-care innovation, we predict that similar subspecialty hospitalist programs will become an accepted part of future hospital care. This article discusses specialty hospitalist care and describes our development of such a program at Hartford Hospital.
医院医学是美国发展最快的医学专科。门诊基层医疗医生面临的时间压力以及医院面临的成本压力是这一趋势背后的主要驱动力。尽管最初受到批评和质疑，但住院医师项目已被证明在内科临床和学术部门具有成本效益。这些项目最近也被应用于医学亚专科部门。哈特福德医院在其心血管科采用了一项新的专科住院医师项目。该项目发展成为医院最成功的住院医师项目之一。由于以更低成本提供更高质量的护理是任何提议的医疗保健创新的最终目标，我们预测类似的亚专科住院医师项目将成为未来医院护理中被广泛接受的一部分。本文讨论了专科住院医师护理，并描述了我们在哈特福德医院开展此类项目的过程。
