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住院医师时代。

Era of hospitalists.

作者信息

Palabindala Venkataraman, Abdul Salim Sohail

机构信息

Division of Hospital Medicine, School of Medicine, University of Mississippi Medical Center, Jackson, MS, USA.

School of Medicine, Department of Medicine, University of Mississippi Medical Center, Jackson, MS, USA.

出版信息

J Community Hosp Intern Med Perspect. 2018 Feb 6;8(1):16-20. doi: 10.1080/20009666.2017.1415102. eCollection 2018.

Abstract

Hospitalists, known as physicians, are an emerging group in the medical field that is focused on the general medical care of hospitalized patients. Specializing in hospital medicine, they often attract a mix of appreciation and criticism. In the present manuscript, we review the pros and cons of a hospitalist in the health-care system. Although experts agree that hospitalists add value to the health-care system by reducing costs, streamlining administrative processes, and contributing to improved health-care outcomes, there is a large degree of disagreement regarding the extent of hospitalist contribution to overall improvements on health-care outcomes. In this paper, new strategies to overcome reported shortcomings and to further improve the quality of health care are discussed. SHM: Society of Hospital Medicine; BOOST: Better Outcomes by Optimizing Safe Transitions; RED: Re-Engineered Discharge; CHF: chronic heart failure; MI: myocardial infarction; ICU: intensive care unit; PACT: post-acute care transitions; MRSA: methicillin-resistant ; CINAHL: The Cumulative Index to Nursing and Allied Health Literature; PCP: primary care physician.

摘要

住院医师,也被称为内科医生,是医学领域中一个新兴的群体,专注于为住院患者提供综合医疗护理。他们专门从事医院医学,常常引发各种不同的评价,有赞赏也有批评。在本手稿中,我们回顾了住院医师在医疗保健系统中的优缺点。尽管专家们一致认为住院医师通过降低成本、简化行政流程以及促进改善医疗保健结果为医疗保健系统增添了价值,但对于住院医师对整体医疗保健结果改善的贡献程度,仍存在很大分歧。本文讨论了克服已报告缺点并进一步提高医疗保健质量的新策略。SHM:医院医学协会;BOOST:通过优化安全过渡实现更好结果;RED:重新设计出院流程;CHF:慢性心力衰竭;MI:心肌梗死;ICU:重症监护病房;PACT:急性后护理过渡;MRSA:耐甲氧西林;CINAHL:护理及相关健康文献累积索引;PCP:初级保健医生。

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