Hospitalist Model Applications in The World and This Model's Potential Contribution to Turkey

Abstract

Hospitalists are physicians “whose primary professional focus is the general medical care of hospitalized patients.” The hospitalist model is rapidly altering the landscape for inpatient care in the world. Most hospitalists are board-certified internists and some hospitalist physicians are family physicians. Although Turkey does not have a defined task for family doctors such as this.

We aim to review "hospitalist" concept and the relation to family doctors' job opportunities in the world and discuss the feasibility in Turkey

The hospitalist model offers many potential advantages. But is such a specialist area necessary for Turkey? Although the concept of ''Hospitalist'' is not used in Turkey yet.

 To take an active role of family doctors in inpatient follow-up can provide a visible benefit in improving the coordination of health care services.

Keywords

• Family Physicians; Hospitalist; Inpatient Care

Dünya'da Hospitalist Model Uygulamaları ve Bu Modelin Türkiye’ye Olası Katkıları

Öz

Hospitalistler, birincil hedefleri, "yatan hastaların genel tıbbi bakımı" olan hekimlerdir.  Hospitalist model, dünyadaki yatarak hasta bakımının manzarasını hızla değiştirmektedir. Hospitalist hekimlerin çoğu sertifikalı dahiliye uzmanları iken hospitalistlerin bazıları ise aile hekimleridir. Ancak Türkiye'de aile hekimleri için tanımlanmış bir kavram bulunmamaktadır.

Amacımız; dünyadaki hospitalist kavramını ve aile hekimleri için yarattığı fırsatları gözden geçirmek ve Türkiye'deki uygulanabilirliğini tartışmaktır.

Hospitalist model, bir çok potansiyel avantaj sunmaktadır. Peki, böyle bir uzmanlık alanı Türkiye için gerekli midir? Henüz Türkiye'de böyle bir uzmanlık alanı bulunmamaktadır.

Aile hekimlerinin, yatan hasta takibinde aktif rol alması, sağlık hizmetlerinin koordinasyonunun geliştirilmesinde gözle görülür bir fayda sağlayabilir.

 

Anahtar Kelimeler

• Aile hekimliği; Hospitalist; Yatan hasta bakımı

Kaynakça

1. Wachter RM, Goldman L. The hospitalist movement 5 years later. JAMA 2002; 287(4):487-494.
2. Lindenauer PK, Rothberg MB, Pekow PS, Kenwood C, Benjamin EM, Auerbach AD. Outcomes of care by hospitalists, general internists, and family physicians. N Engl J Med 2007;357(25):2589-2600.
3. Nakashima WF. The role of “hospitalists” in the health care system .(Letter to the editor). N Engl J Med 1997;336(6):445-446
4. Wachter RM, Goldman L. The emerging role of “hospitalists” in the American health care system. N Engl J Med 1996;335(7):514-517. O'Leary KJ, Williams MV. The evolution and future of hospital medicine. Mt Sinai J Med 2008;75(5):418–423.
5. Lurie JD, Miller DP, Lindenauer PK, Wachter RM, Sox HC. The potential size of the hospitalist workforce in the United States. Am J Med. 1999;106(4):441-5.
6. Chapman RW. The hospitalist: implications for family practice. Fam Med 1998;30(7):517-518.
7. Rubenstein W. The role of “hospitalists” in the health care system. (Letter to the editor). N Engl J Med 1997;336(6):445- 446.
8. Guttler S. The role of “hospitalists” in the health care system. (Letter to the editor). N Engl J Med. 1997;336(6):444-445.

9. Greeno R. “Funding a hospitalist program: which approach will you take?” Healthc Financ Manage. 2010;64(8):76-80.
10. White HL, Glazier HL. Do hospitalist physicians improve the quality of inpatient care delivery? A systematic review of process, efficiency and outcome measures. BMC Medicine 2011, 9:58 (doi:10.1186/17417015-9-58).
11. Wachter RM, Goldman L, Hollander H. Hospital Medicine. 2nd ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 2005:50-56.
12. Huddleston JM, Long KH, Naessens JM. et al. “Medical and Surgical Comanagement after Elective Hip and Knee Arthroplasty; a Randomized Controlled Trial” Annals of Internal Medicine 2004; 141(1):28-38.
13. Auerbach A, et al. Implementation of a Voluntary Hospitalist Service at a Community Teaching Hospital: Improved Clinical Efficiency and Patient Outcomes. Ann Intern Med. 2002;137(11):859
14. Meltzer DO, Shah MN, Morrison J, et al. Decreased length of stay, costs and mortality in a randomized trial of academic hospitalists. JGIM 2001;16(1):208-209.
15. Wald H. The hospitalist movement. Ann Intern Med. 1999;131(7):544-545.
16. Hauer KE, Flanders SA, Wachter RM. Training future hospitalists. West J Med. 1999;171(5):367-370.
17. Smith MI, Bellamy P, Tillisch J. The role of “hospitalists” in the health care system. (Letter to the editor). NEngl JMed. 1997; 336(6):445-446.
18. Dowling PT. The hospitalist and the care of the patient. Journal of Culture and Medicine. 1999;171(5 ):371-372.
19. Mitchell BL, Mitchell LC.Review of the literature on cultural competence and end-of-life treatment decisions: the role of the hospitalist. Journal of the National Medical Association 2009; 101(9):920-926.
20. Crookston D. The role of the family physician in hospitals In: The College of Family Physicians of Canada. The family physician as primary health care provider. 3rd ed. Mississauga, Ont: The College of Family Physicians of Canada; 1993:33-40.
21. The 2001 CFPC National Family Physician Workforce Survey
22. Database (weighted data). Part of the JANUS Project, College of Family Physicians of Canada. Mississauga ON, 2001.
23. The College of Family Physicians of Canada and The Royal College of Physicians and Surgeons of Canada. The relationship between family physicians and specialist/consultants in the provision of patient care. 2nd ed. Mississauga, Ont: The College of Family Physicians of Canada and The Royal College of Physicians and Surgeons of Canada;1993: 1316-20.
24. Egan, J., Webber, M., et al. The Hospitalist: a third alternative. MJA 2000 ;172(3): 335-338.
25. Weyrauch. Does continuity of care increase patient satisfaction? J Am Board Fam Pract 1996;9(1):31-6. Yazışma Adresi/Correspondence Dr. Duygu Ayhan Başer Ankara Numune Eğitim ve Araştırma Hastanesi, Aile Hekimliği Kliniği e-posta:[e-mail] Geliş Tarihi: 07.05.2014 Kabul Tarihi: 04.08.2014