Discussion 5
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California State University, Fullerton *
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MISC
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Medicine
Date
Jan 9, 2024
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docx
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Uploaded by marttiatoo
Role of the Hospitalist:
Hospitalists are growing increasingly frequent despite being a relatively new medical
speciality. Physicians who work primarily with hospital inpatients are known as
"hospitalists." Hospitalists are medical professionals who focus on providing inpatient care in
institutional settings like hospitals. They have earned a stellar reputation for their skill in
inpatient care. They are crucial in improving patient outcomes by coordinating and
supervising medical care and facilitating a smooth transition between settings in which
treatment is provided (Muratov S et al.,2019).
Work Settings:
Hospitalists typically see and care for Patients in the hospital's paediatrics, internal medicine,
or surgery departments. Most of their time is devoted to caring for patients in the specialist
department. Due to their superior ability to care for patients, hospitalists are in high demand.
They may also be able to work at rehabilitation facilities or long-term acute care hospitals
with inpatient wards. Jobs would be easier to come by for them. Since hospital medicine is
highly regarded worldwide, hospitalists can be anywhere (Reponen et al.,2021).
Responsibilities:
Hospitalists are medical professionals who have chosen to focus their careers on delivering
medical attention to patients undergoing inpatient care at a healthcare facility. The following
items are only a few of the many that are included in the scope of their responsibility
(Muratov S et al.,2019).
Admitting and managing patients:
Hospitalists are medical doctors who focus their
expertise on the treatment of inpatients. They are in charge of conducting in-depth
evaluations of patients, which may involve arranging diagnostic testing and developing
treatment strategies, administering drugs and monitoring their effects (Reponen et al.,2021).
Collaboration with multidisciplinary teams:
To offer the best care for their patients,
hospitalists collaborate with various other medical professionals, such as nurses, specialists,
pharmacists, social workers, and case managers. They work with the rest of the team to give
each patient the best care possible (Muratov S et al.,2019).
Interaction with Other Settings and Providers:
Hospitalists keep lines of communication open with everyone involved in the patient's care,
including referring doctors, specialists, and other hospitals. Therefore, hospital doctors can
provide their patients with the best care available. These interactions are crucial for ensuring
that patients get the best care possible and can clearly express their needs to the doctors and
nurses. Some of the most notable ways hospitalists collaborate with other sectors of the
healthcare system are briefly described here (Reponen et al.,2021).
Communication with PCPs:
Hospitalists coordinate with primary care physicians (PCPs) to
obtain patient medical histories, explain hospitalizations when necessary, and facilitate a
seamless transition from outpatient to inpatient care. After a patient leaves a care facility, they
receive a complete treatment record. These synopses discuss the prognosis, treatment,
medications, and follow-up care (Muratov S et al.,2019).
Collaboration with specialists:
Hospitalists collaborate with other doctors and nurses to
treat severe illnesses and injuries. When necessary, they consult with specialists and
coordinate specialized action, all while maintaining constant communication on treatment
plans and patient progress (Reponen et al.,2021).
Issues Raised for Primary Physicians and Patients:
The evolution of hospital medicine and the rising prominence of hospitalists have created
new difficulties for primary care physicians (PCPs) and the patients they serve (Muratov S et
al.,2019).
Fragmented care and limited continuity:
Hospitalists may need to provide more
coordinated care. Due to time constraints, hospitalists may need help understanding patients '
medical histories, preferences, and wants. It may be challenging to personalize treatment and
ensure medical continuity (Muratov S et al.,2019).
References
Muratov S, Lee J, Holbrook A, et al. (2019). Regional differences in spending and mortality
among high-cost healthcare users over 65 in Ontario: a retrospective matched cohort
study. BMC Geriatrics, 18(1), 1-13. doi:10.1186/s12877-018-0952-7.
Reponen E, Jokela R, Blodgett JC, etc. (2021). Finnish healthcare lean healthcare
implementation self-assessment instrument (lhisi) validation. BBC Health Services
Research, 21(1). doi:10.1186/s12913-021-07322-2
Reply:
Participation of participants in interactions with staff members at post-acute care facilities.
Suppose hospitalists have reason to believe that their patients may require ongoing medical
care after discharge. In that case, they may refer those patients to post-acute care providers,
such as rehabilitation clinics or home health agencies. They are excellent at coordinating their
efforts and communicating with one another to create a seamless transition in patient care and
meet all of the patient's needs in the new environment. Discussions with medical
professionals and nurses working in emergency rooms at the following hospitals: Hospitalists
can collaborate with emergency room physicians responsible for the patient's initial care
before being admitted. They communicate with one another to avoid any hiccups in the
handoff of a patient, discuss any essential facts on the patient's status, and handle any
immediate interventions or worries. Hospitalists can considerably advance their careers using
the resources available by Hospital Medicine, a professional medical association.
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Reply:
Hospitalists are frequently the initial point of contact in coordinating the treatment provided
to patients who are either in a severe state or who suffer from a wide range of complex
medical diseases. They are responsible for coordinating the movement of patients between
different facilities, facilitating communication between patients and physicians, arranging any
necessary treatments, and ensuring that patients receive proper follow-up care. Hospitalists
are strongly encouraged to participate in the numerous ongoing quality improvement
programs that are taking place at the hospital. They contribute to the formulation and
implementation of guidelines, recommendations, and best practices to improve the results of
healthcare, increase patient safety, and reduce the frequency of medical errors. When patients
are transferred to the hospital from the emergency department, hospitalists can coordinate
their care with the ED physicians who were responsible for their initial treatment. They
collaborate to handle any pressing concerns or interventions, smooth over any glitches that
may occur throughout the handoff procedure for the patient, and provide any pertinent
information on the patient's current condition.