La Puma J
North Suburban Clinic, Alexian Brothers Medical Center, Elk Grove Village, IL, USA.
Arch Intern Med. 1996;156(22):2529-33.
Current house physicians' practice, responsibilities, and earnings are reviewed. House physicians are licensed, ordinarily institutionally based, typically salaried physician employees of 1 or more hospitals or systems. Many are hourly workers, often foreign medical graduates or physicians in training, with little professional status and less visibility. Yet managed care sees a new, creative role for house physicians that makes them masters of quality and models of service. No longer dependent beings shielded by an institution's coverage, house physicians can emerge as efficient, educated champions of inpatient medicine. To produce hospital generalist physicians for the patient's good, physician availability, institutional financial incentives, and patient values must align.
本文回顾了当前住院医师的执业情况、职责和收入。住院医师通常在机构内执业，持有执照，一般受雇于一家或多家医院或医疗系统，领取薪水。他们中有许多是小时工，往往是外国医学毕业生或正在接受培训的医生，职业地位较低，知名度也不高。然而，管理式医疗认为住院医师可发挥新的、有创造性的作用，使他们成为质量把控者和服务典范。住院医师不再是依赖机构庇护的人，而能够成为高效、专业的住院医疗倡导者。为了患者的利益培养医院通科医生，医生的可及性、机构的经济激励措施和患者价值观必须保持一致。
