Department of Neurology, University of California San Francisco, San Francisco, CA, USA.
Neurology. 2013 Mar 5;80(10):957-62. doi: 10.1212/WNL.0b013e3182840bd3. Epub 2013 Jan 16.
Hospitalist medicine has gown rapidly over the past decade in response to increasing complexity of hospitalized patients, financial pressures, and a national call for improved quality and safety outcomes. An adult neurohospitalist model of care has recently emerged to address these factors and the need for inpatient neurologists who offer expertise and immediate availability for emergent neurologic conditions such as acute stroke and status epilepticus. Similarly, hospitalized children with acute neurologic disorders require a uniquely high level of care, which increasingly cannot be delivered by pediatric neurologists with busy outpatient practices or by pediatric hospitalists without specialized training. This perspective explores the concept of a pediatric neurohospitalist model of care, including the potential impact on quality of care, hospitalization costs, and education.
在过去的十年中，随着住院患者病情的日益复杂、经济压力的增加以及对提高质量和安全结果的全国呼吁，医院医学迅速发展。最近出现了成人神经科医生的护理模式，以解决这些因素以及对提供专业知识和即时治疗急性神经系统疾病（如急性中风和癫痫持续状态）的住院神经科医生的需求。同样，患有急性神经系统疾病的住院儿童需要高度特殊的护理，而这越来越不能仅由门诊繁忙的儿科神经科医生或没有专门培训的儿科医院医生提供。本观点探讨了儿科神经科医生护理模式的概念，包括对护理质量、住院费用和教育的潜在影响。
