J Korean Med Assoc.  2016 May;59(5):342-344. 10.5124/jkma.2016.59.5.342.

Operating the hospitalist system

• Eom JS

• KMID: 2420630
• DOI: http://doi.org/10.5124/jkma.2016.59.5.342

Abstract

Recent changes in the Korean government's strategies for resident quotas and training condition results is creating a gap in the treatment of inpatients and threatening patient safety. The hospitalist system, which has been established and operates in the United States, has also been suggested as an alternative in Korea. In 2015, a pilot project for the implementation of a hospitalist system was successfully executed in three teaching hospitals. The most important factors for the successful implementation of a hospitalist system are to establish the job description and security of the hospitalist. In addition, securing finances and making medical insurance fee-for-service, a certification system for hospitalists, an education program, and proper salaries are needed. The introduction and management of a hospitalist system may be seen as necessary for the times, considering changing resident strategies and the reinforcement of responsibility for patient safety. The hospitalist system is a solution for the gap in the treatment of inpatients and is predicted to improve patient safety.

Keyword

Hospitalists; Resident training; Patient safety

MeSH Terms

Certification
Education
Hospitalists*
Hospitals, Teaching
Humans
Inpatients
Insurance
Job Description
Korea
Patient Safety
Pilot Projects
Salaries and Fringe Benefits
United States

Reference

1. Settlement of hospitalist system, that is not impossible. Cheongnyeonuisa;2016. 04. 02. cited 2016 Apr 20. Available from: http://www.docdocdoc.co.kr/news/newsview.php?newscd=2016040100040.

2. White HL, Glazier RH. Do hospitalist physicians improve the quality of inpatient care delivery? A systematic review of process, efficiency and outcome measures. BMC Med. 2011; 9:58.

3. Schaffer AC, Puopolo AL, Raman S, Kachalia A. Liability impact of the hospitalist model of care. J Hosp Med. 2014; 9:750–755.

4. Peberdy MA, Ornato JP, Larkin GL, Braithwaite RS, Kashner TM, Carey SM, Meaney PA, Cen L, Nadkarni VM, Praestgaard AH, Berg RA. National Registry of Cardiopulmonary Resuscitation Investigators. Survival from in-hospital cardiac arrest during nights and weekends. JAMA. 2008; 299:785–792.