Hsin-Kai Huang
People's Republic of China
Review Article
Application of Integrated Medical Care Model (Hospitalist) in Emergency Department and its Efficiency and Outcome: 4 years' Experience in Taiwan
Author(s): Tzu-Chieh Weng, Chien-Cheng Huang, Chun-Cheng Zhang, Hsin-Kai Huang, Meng-Chieh Wu, Chien-Chin Hsu and Kao-Chang LinTzu-Chieh Weng, Chien-Cheng Huang, Chun-Cheng Zhang, Hsin-Kai Huang, Meng-Chieh Wu, Chien-Chin Hsu and Kao-Chang Lin
Background: The hospitalist model (HOS) setting at wards can improve quality of patient care and shorten length of stay, however, their efficacy at emergency department (ED) is still lacking in Taiwan.
Objective: To realize if HOS is working at ED in a designed academic care program. Design/setting: Before-and-after intervention of HOS in a 1200-bed tertiary medical center in Taiwan.
Measurement: A three-shift duty with 8 internal subspecialists was adapted for their working schedule in 3:1:1 physicians round. From 2012~2016, 4 years data was collected retrospectively such as length of stay, over-waiting (>48 h) period, mortality, 6 and 24 h deterioration after hospitalization and satisfaction questionnaire were analyzed before and after HOS intervention was compared.
Results: There was no s.. View More»
DOI:
10.4172/2375-4273.1000211