지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 1 - 7 (7page)
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초록· 키워드
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Background: Since the launch of pilot programs in 2016, varying ranges of hospitalist coverage exist in Korea. We evaluated the effects of differing depths of hospitalist coverage on clinical outcomes. Methods: This study retrospectively reviewed the records of 513 patients admitted to a medical hospitalist unit through emergency department at Seoul National University Hospital. The full- time group included patients admitted in 2018 who received 24/7 hospitalist service, whereas the weekday group included patients admitted in 2019 with only weekday hospitalist service. In-hospital clinical outcomes were compared between the two groups. Results: Unplanned intensive care unit admission rate was lower in the full-time group than in the weekday group (0.4% vs. 2.9%; P = 0.042). Discharges to local hospitals for subacute or chronic care were more frequent in the full-time group than in the weekday group (12.6% vs. 5.8%; P = 0.007). The weekday coverage was a predictive factor of in-ward mortality (odds ratio, 2.00; 95% confidence interval, 1.01–3.99) after adjusting for potential confounding factors. Conclusion: Uninterrupted weekend coverage hospitalist service is helpful for care-plan decision and timely care transitions for acutely and severely ill patients.
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참고문헌 (26)
참고문헌 신청
Wachter RM / 1999 / An introduction to the hospitalist model / Ann Intern Med 130(4 Pt 2):338~342
Diamond HS / 1998 / The effect of full-time faculty hospitalists on the efficiency of care at a community teaching hospital / Ann Intern Med 129(3):197~203
Salim SA / 2019 / Impact of hospitalists on the efficiency of inpatient care and patient satisfaction : a systematic review and metaanalysis / J Community Hosp Intern Med Perspect 9(2):121~134
Wachter RM / 2016 / Zero to 50, 000-the 20th anniversary of the hospitalist / N Engl J Med 375(11):1009~1011
Jeon B / 2017 / Health and long-term care systems for older people in the republic of Korea : policy challenges and lessons / Health Syst Reform 3(3):214~223
Diamond HS / 1998 / The effect of full-time faculty hospitalists on the efficiency of care at a community teaching hospital / Ann Intern Med 129(3):197~203
Salim SA / 2019 / Impact of hospitalists on the efficiency of inpatient care and patient satisfaction : a systematic review and metaanalysis / J Community Hosp Intern Med Perspect 9(2):121~134
Wachter RM / 2016 / Zero to 50, 000-the 20th anniversary of the hospitalist / N Engl J Med 375(11):1009~1011
Jeon B / 2017 / Health and long-term care systems for older people in the republic of Korea : policy challenges and lessons / Health Syst Reform 3(3):214~223
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