Hughes Michelle, Sun Edward, Enslin Sarah, Kaul Vivek
Section of Digestive Diseases, Yale School of Medicine, New Haven, Connecticut.
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Stony Brook University Medical Center, State University of New York at Stony Brook, Stony Brook, New York.
Gastroenterol Hepatol (N Y). 2020 Nov;16(11):571-576.
Over the last 2 decades, there has been an increase in acuity among hospitalized patients and patients who present to the emergency department. As such, the role of the hospitalist as an inpatient medicine specialist has become increasingly important to many health systems. More recently, subspecialties in medicine have begun adopting the hospitalist model to care for their inpatients. This care delivery model helps provide continuity, potentially decreased cost and length of stay, and a better quality of life with a more predictable schedule for hospitalists and their outpatient colleagues. This model also aims to provide more timely consultation for inpatients, to help improve communication among inpatient caregiver teams, and to reduce redundant tests while also enhancing patient satisfaction. As a primarily outpatient procedure (and clinic)-based specialty, gastroenterology may benefit from the hospitalist model by being able to provide highly specialized care to acutely ill hospitalized patients with less disruption to outpatient schedules. This article discusses the structure of the gastroenterology hospitalist model, advantages to gastroenterologists and their practices, and the challenges of developing and implementing this model, as well as highlights the increasingly recognized value of this new paradigm in gastroenterology.
在过去20年里，住院患者以及前往急诊科就诊的患者的病情严重程度有所增加。因此，住院医师作为住院内科专科医生的角色对许多医疗系统来说变得越来越重要。最近，医学亚专科开始采用住院医师模式来照顾他们的住院患者。这种护理模式有助于提供连续性护理，可能降低成本和缩短住院时间，并为住院医师及其门诊同事提供更可预测的日程安排，从而改善生活质量。该模式还旨在为住院患者提供更及时的会诊，帮助改善住院护理团队之间的沟通，减少重复检查，同时提高患者满意度。作为一个主要以门诊手术（和诊所）为基础的专科，胃肠病学可能会从住院医师模式中受益，因为它能够为急性病住院患者提供高度专业化的护理，同时对门诊日程安排的干扰较小。本文讨论了胃肠病学住院医师模式的结构、对胃肠病学家及其执业机构的优势、开发和实施该模式的挑战，并强调了这种新范式在胃肠病学中日益得到认可的价值。
