有效医院医学团队的关键原则和特征：医院和医院医师评估指南。

The key principles and characteristics of an effective hospital medicine group: an assessment guide for hospitals and hospitalists.

机构信息

Medical, University of South Carolina, Charleston, South Carolina.

出版信息

J Hosp Med. 2014 Feb;9(2):123-8. doi: 10.1002/jhm.2119.

DOI:10.1002/jhm.2119

PMID:24497459

Abstract

BACKGROUND

Despite the growth of hospital medicine, few guidelines exist to guide effective management of hospital medicine groups (HMGs).

METHODS

The Society of Hospital Medicine Board of Directors appointed a workgroup consisting of individuals who have experience with a wide array of HMG models. The workgroup developed an initial draft of characteristics, which then went through a multistep process of review and redrafting. In addition, the workgroup went through a 2-step Delphi process to consolidate characteristics and/or eliminate characteristics that were redundant or unnecessary. Over an 18-month period, a broad group of stakeholders in hospital medicine and the broader healthcare industry provided comments and feedback.

RESULTS

The final framework consists of 47 key characteristics of an effective HMG organized under 10 principles.

CONCLUSIONS

These principles and characteristics provide a framework for HMGs seeking to conduct self-assessments, outlining a pathway for improvement and better defining the central role of hospitalists in coordinating team-based, patient-centered care in the acute-care setting. They are designed to be aspirational, helping to raise the bar for the specialty of hospital medicine.

摘要

背景

尽管医院医学不断发展，但几乎没有指导方针来指导医院医学组（HMG）的有效管理。

方法

医院医学学会理事会任命了一个工作组，成员包括在广泛的 HMG 模型方面具有经验的个人。工作组制定了特征的初始草案，然后经过多步骤的审查和重新起草。此外，工作组还通过两步 Delphi 流程来整合或删除冗余或不必要的特征。在 18 个月的时间里，医院医学领域和更广泛的医疗保健行业的广泛利益相关者提供了意见和反馈。