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Shared care (comanagement).

E Montero Ruiz1,

  • 1Servicio de Medicina Interna, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, España.

Revista Clinica Espanola
|July 13, 2015
PubMed
Summary
This summary is machine-generated.

Shared care models, integrating perioperative medicine, address challenges in surgical patient management. Internal Medicine specialists are best suited for this collaborative approach, requiring specific skills and addressing interdisciplinary concerns.

Keywords:
Asistencia compartidaAtención perioperatoriaHospitalised patientsInternal MedicineMedicina InternaPacientes ingresadosPerioperative careRemisión y consultaRemission and consultationShared care

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Area of Science:

  • Healthcare Management
  • Internal Medicine
  • Perioperative Care

Background:

  • Surgical departments face increasing patient complexity (age, comorbidities) and resource pressures.
  • Specialization and healthcare policy prioritize surgical procedures, straining existing care models.
  • Interconsultation systems often struggle to meet the demands of complex surgical patients.

Purpose of the Study:

  • To introduce and advocate for a Shared Care model in surgical patient management.
  • To highlight the role of Internal Medicine within this collaborative perioperative framework.
  • To identify necessary internist competencies and address potential interdisciplinary concerns.

Main Methods:

  • Development of a novel healthcare organization model: Shared Care.
  • Integration of perioperative medicine principles into the Shared Care model.
  • Defining the role and required characteristics of Internal Medicine specialists in shared care.

Main Results:

  • Shared Care allows two specialists to jointly manage hospitalised surgical patients.
  • Internal Medicine is identified as the optimal specialty for shared care responsibilities.
  • Successful implementation requires internists to possess specific skills and manage surgeon/anesthesiologist concerns.

Conclusions:

  • The Shared Care model offers a viable solution to the challenges in surgical patient care.
  • Internal Medicine's involvement in perioperative medicine enhances patient management.
  • Addressing interdisciplinary communication and defining roles are crucial for effective shared care.