Estabrook Elizabeth, Dhaliwal Gurpreet, Bright Philip
General Internal Medicine, University Hospital Southampton, Tremona Road, Southampton, SO16 6YD, England, United Kingdom.
Department of Medicine, University of California San Francisco, Medical Service, San Francisco VA Medical Centre, 4150 Clement Street San Francisco, CA 94121, USA.
Future Healthc J. 2024 Oct 21;11(4):100197. doi: 10.1016/j.fhj.2024.100197. eCollection 2024 Dec.
As the UK NHS faces growing challenges of the ageing population and escalating healthcare costs, we examine the role of the general internal medicine (GIM) consultant in inpatient medicine. We argue that the reintroduction of GIM could provide a sustainable and valuable contribution to high-quality, cost-effective inpatient care drawing on parallels from the GIM hospitalist model in the USA. Additionally, GIM expansion could contribute to improved outcomes for complex medical patients and surgical patients, as well as safety and quality initiatives.
随着英国国民医疗服务体系(NHS)面临人口老龄化和医疗成本不断攀升的日益严峻挑战,我们审视了普通内科(GIM)顾问在住院医疗中的作用。我们认为,重新引入普通内科可以借鉴美国普通内科住院医师模式的经验,为高质量、具有成本效益的住院护理做出可持续且有价值的贡献。此外,扩大普通内科规模有助于改善复杂内科患者和外科患者的治疗效果,以及推进安全和质量改进举措。