The Herman & Walter Samuelson Children's Hospital at Sinai, Baltimore, Maryland; and
School of Medicine, Tufts University and Tuft's Children's Hospital, Boston, Massachusetts.
Hosp Pediatr. 2021 Apr;11(4):422-426. doi: 10.1542/hpeds.2020-003905. Epub 2021 Mar 16.
Community hospital inpatient pediatric programs face a variety of challenges including financial instability, variable censuses, difficulty maintaining qualified staff, and a lack of focus for the hospital. With the addition of new payment models, such as bundled payments and global budgets, along with a global pandemic, the future of community hospital pediatric inpatient care is uncertain at best. In this article we summarize the challenges, opportunities, and potential solutions to maintaining high-quality care for hospitalized children in community hospitals.
社区医院住院儿科项目面临着各种挑战,包括财务不稳定、患者数量变化、难以维持合格的员工队伍以及医院缺乏重点等。随着新的支付模式(如捆绑式支付和总体预算)的出现,以及全球大流行,社区医院儿科住院治疗的未来充其量也是不确定的。本文总结了在社区医院为住院儿童维持高质量护理所面临的挑战、机遇和潜在解决方案。