Blue Sky Neurosciences, PLLC, 499 East Hampden Avenue, Suite 360, Englewood, CO 80113, USA.
Curr Neurol Neurosci Rep. 2012 Aug;12(4):481-8. doi: 10.1007/s11910-012-0273-8.
Akin to the rapid growth in hospitalist medicine seen in the prior decade, there has been a recent explosion in the need for neurohospitalists. Factors driving this demand include nationally mandated quality and safety measures, the increasing complexity and age of the hospitalized patient, and diminished training in diagnosis and management of neurological illnesses for internal medicine residents. The role of the neurohospitalist is varied and may include not only providing neurological care to hospitalized patients but also serving as a leader in an institution's push to meet quality and safety measures. Close collaboration with intensivists, vascular neurologists, and outpatient neurologists is both a challenge and essential for successful delivery of care both during hospitalization and after discharge. Future challenges facing neurohospitalists include defining its relationship to other fields, instituting a pathway for certification, and conducting research to guide the development of evidence-based practice and quality measures.
类似于过去十年中所见的医院医师医学的快速发展，神经科医师的需求也出现了近期的爆发式增长。推动这一需求的因素包括全国范围内强制性的质量和安全措施、住院患者日益增加的复杂性和年龄，以及内科住院医师在诊断和管理神经疾病方面的培训减少。神经科医师的角色多种多样，不仅可能包括为住院患者提供神经科护理，还可能担任机构在满足质量和安全措施方面的领导者。与重症监护医师、血管神经病学家和门诊神经病学家密切合作既是挑战，也是成功提供住院和出院后护理的关键。神经科医师未来面临的挑战包括定义其与其他领域的关系、建立认证途径，以及开展研究以指导循证实践和质量措施的发展。
