How to design a hospitalist service. An academic health system case study.

How to design a hospitalist service. An academic health system case study.
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如何设计住院服务。

DOI:
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发表时间:
1999
期刊:
影响因子:
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通讯作者:
Bailey Rh
Bailey Rh
中科院分区:
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文献类型:
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作者:
Creighton Fa;Bailey Rh

文献摘要

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全国各地的医疗中心都聘用住院医师————专门的住院专家————代替初级保健提供者在住院期间照顾病人。随着执业医院医生的数量在两年内翻了一番,从大约1500人增加到3000多人,医院医生项目也有了广泛的增长。1997年7月,凯斯西储大学的主要教学附属机构——克利夫兰大学医院的医学部创建了一项医院服务。本文将讨论在一个主要的学术医疗中心的医院服务的设计,在设计阶段所考虑的因素和财务可行性。
Medical centers throughout the country are employing hospitalists--dedicated inpatient specialists--to care for patients during hospitalization in place of their primary care provider. There has been expansive growth of hospitalist programs as the number of practicing hospitalists has doubled in two years from approximately 1,500 to over 3,000. In July 1997, the department of medicine at University Hospitals of Cleveland, the primary teaching affiliate of Case Western Reserve University, created a hospitalist service. This paper will discuss the design of a hospitalist service at a major academic medical center, the factors that were considered during the design stage and financial feasibility.