The hospitalist as coordinator: an observational case study

Burkhardt, Ulrike; Erbsen, Astrid; Rüdiger‐Stürchler, Marjam

doi:10.1108/14777261011029552

Cited by 8 publications

(8 citation statements)

References 44 publications

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“…Some Swiss hospitals started employing “hospital specialists” whose main responsibility is to manage patients autonomously and coordinate care. 8 …”

Section: Drivers For the Exportation Of The Hospitalist Model Beyond mentioning

confidence: 99%

Hospital medicine beyond the United States

Kisuule

Howell

2018

IJGM

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Hospital medicine is the fastest growing specialty in the United States. An interesting aspect of the rapid expansion of hospital medicine is the expansion of the field beyond the United States. Although the health care systems, regulations, and cultural norms in these nations differ, there are striking similarities in the profession’s development. We performed a literature review to better understand the factors contributing to the growth of hospital medicine internationally. In this article, we describe some of the drivers for expansion of hospital medicine outside the United States and the challenges faced by these groups. We also discuss the role the United States could play in the continued growth of hospital medicine internationally.

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“…Some Swiss hospitals started employing “hospital specialists” whose main responsibility is to manage patients autonomously and coordinate care. 8 …”

Section: Drivers For the Exportation Of The Hospitalist Model Beyond mentioning

confidence: 99%

Hospital medicine beyond the United States

Kisuule

Howell

2018

IJGM

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“…Hospitalist physicians have been integrated on the general wards in US hospitals since 1996 [39] and might be useful members of the rapid response team. These hospitalists are mostly specialized in general internal medicine and have a coordinating function with a focus on the general medical care of hospitalized patients [40]. Not only are they an important information pool for patients, family members, nurses, and consultants, they also can assign additional diagnostic and therapeutic activities in case of urgent situations [40].…”

Section: Composition Of the Teammentioning

confidence: 99%

“…These hospitalists are mostly specialized in general internal medicine and have a coordinating function with a focus on the general medical care of hospitalized patients [40]. Not only are they an important information pool for patients, family members, nurses, and consultants, they also can assign additional diagnostic and therapeutic activities in case of urgent situations [40]. A positive effect of the introduction of hospitalists on the patients' average length of hospital stay and total hospital costs has already been demonstrated [39] but seems to be dependent on the hospitalist workload [41].…”

Section: Composition Of the Teammentioning

confidence: 99%

Managing the Prevention of In-Hospital Resuscitation by Early Detection and Treatment of High-Risk Patients

Kalmar¹,

Vekens²,

Vanoverschelde³

et al. 2018

Special Topics in Resuscitation

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In hospitalized patients, cardiorespiratory collapse mostly occurs after a distinct period of deterioration. This deterioration can be discovered by a systematic quantification of a set of clinical parameters. The combination of such a detection system-to identify patients at risk in an early stage-and a rapid response team-which can intervene immediately-can be implemented to prevent life-threatening situations and reduce the incidence of in-hospital cardiac arrests outside the intensive care setting. The effectiveness of both of these systems is influenced by the used trigger criteria, the number of rapid response team (RRT) activations, the in-or exclusion of patients with a DNR code >3, proactive rounding, the team composition, and its response time. Each of those elements should be optimized for maximal efficacy, and both systems need to work in tandem with little delay between patient deterioration, accurate detection, and swift intervention. Dependable diagnostics and scoring protocols must be implemented, as well as the organization of a 24/7 vigilant and functional experienced RRT. This implies a significant financial investment to provide an only sporadically required fast intervention and sustained alertness of the people involved.

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“…Hospitalist care of inpatients has been shown to be effective through reduced costs and an improved patient safety, quality of care and patient experience compared with the conventional system ( 1 - 3 ). Hospitalists have rapidly grown in number and have been shown to play a critical role in most hospitals across the United States ( 4 ) and in many hospitals elsewhere ( 5 - 8 ). The significant contribution of the hospitalist movement has led to widespread reform of healthcare systems ( 9 ).…”

Section: Introductionmentioning

confidence: 99%

Efficiency of the Japanese Hospitalist System for Patients with Urinary Tract Infection: A Propensity-matched Analysis

2023

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Objective The hospitalist system in the United States has been considered successful in terms of the quality of care and cost effectiveness. In Japan, however, its efficacy has not yet been extensively examined. This study examined the impact of the hospitalist system on the quality of care and healthcare economics in a Japanese population using treatment of urinary tract infection as an example. Methods We analyzed 271 patients whose most resource-consuming diagnosis at admission was urinary tract infection between April 2017 and March 2019. Propensity-matched analyses were performed to compare health care economics and the quality of care between the hospitalist system and the conventional system. Results In matched pairs, care by the hospitalist system was associated with a significantly shorter length of stay than that by the conventional system. The quality of care (oral antibiotics switch rate, rate of appropriate antibiotics change based on urine or blood culture results, detection rate of urinary tract infection etiology and the number of laboratory tests) was also considered to be favorably impacted by the hospitalist system. Although not statistically significant, hospital costs tended to be lower with the hospitalist system than with the conventional system. The mortality rate and 30-day readmission were also not significantly different between the groups. Conclusion The hospitalist system had a favorable impact on the quality of care and length of stay without increasing readmission in patients with urinary tract infection. This study is further evidence of the strong potential for the positive impact of an implemented hospitalist system in Japan.

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The hospitalist as coordinator: an observational case study

Cited by 8 publications

References 44 publications

Hospital medicine beyond the United States

Hospital medicine beyond the United States

Managing the Prevention of In-Hospital Resuscitation by Early Detection and Treatment of High-Risk Patients

Efficiency of the Japanese Hospitalist System for Patients with Urinary Tract Infection: A Propensity-matched Analysis

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