Hospitalists and Their impact on Quality, Patient Safety, and Satisfaction

被引:14
作者
Kisuule, Flora [1 ]
Howell, Eric E. [1 ]
机构
[1] Johns Hopkins Univ, Sch Med, Div Hosp Med, Dept Med,Johns Hopkins Bayview Med Ctr, Baltimore, MD 21224 USA
关键词
Generalist hospitalist; Patient safety; Quality improvement; Patient satisfaction; Obstetric-gynecologic hospitalist; HIP-FRACTURES; OLDER-ADULTS; CARE; COMANAGEMENT; FACILITATE; PROGRESS; OUTCOMES; TOOL;
D O I
10.1016/j.ogc.2015.05.003
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
The forces promoting the hospitalist model arose from the need for high-value care; therefore, improving quality and cost has been part of the hospitalist formula for success. The factors driving the rapid growth of generalist and subspecialty hospitalists include nationally mandated quality and safety measures, increasing age and complexity of the hospitalized patient, reduced residency duty hours, increased economic pressures to contain costs and reduce length of stay, and also primary care physicians, and specialists, relinquishing hospital privileges to focus on outpatient practices. Hospitalists are playing key roles in patient safety and quality as either leaders or practitioners in the field.
引用
收藏
页码:433 / +
页数:15
相关论文
共 41 条
[31]   Effects of a hospitalist model on elderly patients with hip fracture [J].
Phy, MP ;
Vanness, DJ ;
Melton, LJ ;
Long, KH ;
Schleck, CD ;
Larson, DR ;
Huddleston, PM ;
Huddleston, JM .
ARCHIVES OF INTERNAL MEDICINE, 2005, 165 (07) :796-801
[32]   Tracking progress in patient safety - An elusive target [J].
Pronovost, Peter J. ;
Miller, Marlene R. ;
Wachter, Robert M. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2006, 296 (06) :696-699
[33]  
Stein J, PREVENTING HOSP ACQU
[34]   INTRODUCTION TO THE PEDIATRIC HOSPITAL MEDICINE CORE COMPETENCIES [J].
Stucky, Erin ;
Ottolini, Mary C. ;
Maniscalco, Jennifer .
JOURNAL OF HOSPITAL MEDICINE, 2010, 5 :V-VI
[35]  
Teufel Ronald J 2nd, 2007, J S C Med Assoc, V103, P126
[36]   Development and Validation of the Tool to Assess Inpatient Satisfaction With Care from Hospitalists [J].
Torok, Haruka ;
Ghazarian, Sharon R. ;
Kotwal, Susrutha ;
Landis, Regina ;
Wright, Scott ;
Howell, Eric .
JOURNAL OF HOSPITAL MEDICINE, 2014, 9 (09) :553-558
[37]  
Venous Thromboembolism (VTE) Prevention in the Hospital: Transcript, 2010, VEN THROMB VTE PREV
[38]   The hospitalist movement 5 years later [J].
Wachter, RM ;
Goldman, L .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2002, 287 (04) :487-494
[39]   The emerging role of ''hospitalists'' in the American health care system [J].
Wachter, RM ;
Goldman, L .
NEW ENGLAND JOURNAL OF MEDICINE, 1996, 335 (07) :514-517
[40]   The Hospitalist Field Turns 15: New Opportunities and Challenges [J].
Wachter, Robert M. .
JOURNAL OF HOSPITAL MEDICINE, 2011, 6 (04) :E1-E4