Kinnison M L, White R I, Auster M, Hewes R, Mitchell S E, Shuman L, Gallacher D
Radiology. 1985 Feb;154(2):349-51. doi: 10.1148/radiology.154.2.3155571.
As an alternative to performing interventional radiology on inpatients under the care of internists and surgeons, the authors have established a cardiovascular radiology admitting service for well-screened, elective patients. The patients are admitted under the care of a cardiovascular radiology fellow and a staff physician. From April 1982 to December 1983, 133 patients were admitted to the service. Patients are cared for in a surgical ward or in an intermediate unit, as determined by the clinical situation. Advantages of this approach include a broader patient referral base, improved rapport with clinical colleagues and patients, improved follow-up data, and rapid evaluation and treatment, resulting in short hospital stays. The major disadvantages involve the commitment of time and staff necessary to provide quality care. The concept of the interventional radiologist in the role of admitting physician has important implications in terms of negotiations for additional financial compensation, commensurate with the skill and time required for performing these procedures and caring for the patient.
作为在内科医生和外科医生照料下对住院患者进行介入放射学检查的替代方案，作者为经过精心筛选的择期患者设立了心血管放射学收治服务。患者在心血管放射学进修医生和一名主治医师的照料下入院。1982年4月至1983年12月，该服务共收治了133名患者。根据临床情况，患者在外科病房或中级病房接受护理。这种方法的优点包括更广泛的患者转诊基础、与临床同事和患者更好的关系、改进的随访数据以及快速评估和治疗，从而缩短住院时间。主要缺点是需要投入时间和人员来提供高质量护理。介入放射科医生担任收治医生这一角色的概念在争取额外经济补偿的谈判方面具有重要意义，这种补偿应与执行这些操作和护理患者所需的技能和时间相称。
