相关实验视频
Updated: Jul 15, 2026

12:08
Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
医院主义运动5年后
Robert M Wachter1, Lee Goldman
1Department of Medicine, University of California, San Francisco, Box 0120, San Francisco, CA 94143-0120, USA. bobw@medicine.ucsf.edu
JAMA
|February 2, 2002
概括
医院医师模式提高了医院的效率,降低了成本和住院时间,但没有对护理质量或患者满意度产生负面影响. 这种不断增长的模式也显示出对医学教育的潜在好处.
科学领域:
- 医疗保健管理的管理
- 住院患者护理模式
- 医学专业 医学专业 医学专业
背景情况:
- 住院护理的医院模式,首次描述于1996年,已经出现了相当大的增长.
- 这种扩张对医疗保健系统具有重大临床,金融,教育和政策影响.
研究的目的:
- 审查医院医生对资源利用,护理质量,患者满意度和医疗教育的影响现有数据.
- 分析医院医师对医疗保健系统的更广泛影响,并确定关键挑战和未来方向.
主要方法:
- 从1996年到2001年9月,在主要数据库 (MEDLINE,BIOSIS,EMBASE,Cochrane图书馆) 中进行了全面的文献搜索.
- 将医院护理与对照组进行比较的研究是根据与资源使用,质量和患者满意度相关的结果进行选择的.
主要成果:
- 医院医师计划的实施与医院费用 (平均下降13.4%) 和平均住院时间 (平均下降16.6%) 的显著降低有关.
- 虽然一些研究表明改善了临床结果,如降低死亡率,但这些发现不一致.
- 患者满意度通常保持不变,一些证据表明对医学教学有积极影响.
结论:
- 经验证据支持医院医生提高住院患者的效率,而不影响护理质量或患者满意度.
- 医院医师领域正在迅速扩大,医院医师越来越多地在教学,研究和质量改善方面发挥作用.
- 医院医疗模式表现出传统医疗专业的特征,并准备继续增长和融入医疗保健系统.
更多相关视频
相关概念视频
Introduction To Health Care Delivery System
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Hospitals-I
Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
Issues And Trends In Healthcare Delivery System
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Hospitals-II
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in hospitals have...
Nurses that work in hospitals have...
Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
Documentation in Long-Term and Home Healthcare Setting
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities

