Bashankaev B N, Loriya I Zh, Aliev V A, Glabay V P, Podzolkov V I, Shavgulidze K B, Yunusov B T
Sechenov First Moscow State Medical University of Healthcare Ministry of the Russian Federation, Moscow? Russia; GMS clinicand hospitals, Moscow, Russia.
Sechenov First Moscow State Medical University of Healthcare Ministry of the Russian Federation, Moscow? Russia.
Khirurgiia (Mosk). 2018(8. Vyp. 2):59-64. doi: 10.17116/hirurgia201808259.
The modern model of inpatient surgical care of private and optimized state/govermental medical institutions allows us to change the paradigm of nosological attachment of the hospital bed to one profile of specialists for an adaptive model, when the wards can be reassigned depending on the needs of the hospital. In such multidisciplinary medical centers with mixed hospital beds without a nominal distinction in the nosological departments, a new therapeutic service is being developed - hospitalists, which provide a consistent curation of hospitalized patients, compensation of chronic therapeutic illnesses with patient's preparation for surgical interventions. Our work describes the experience of Fast Track recovery program with the active participation of a hospitalist in a surgical team, which is a new experience in the practice of Russian colorectal surgery.
私立及优化后的国立医疗机构的现代住院手术护理模式，使我们能够将病床按病种分配给单一专科医生的模式转变为适应性模式，即病房可根据医院需求重新分配。在这种没有病种科室名义区分的混合病床多学科医疗中心，一种新的治疗服务——住院医师服务正在发展，它为住院患者提供持续管理，在患者准备手术干预时对慢性治疗疾病进行补偿。我们的工作描述了在外科团队中住院医师积极参与的快速康复计划的经验，这在俄罗斯结直肠外科实践中是一种新的经验。
