In some healthcare systems, patients are cared for by single organ, or single system, specialists; this undeniably has a place in high-quality, effective patient care. A patient who is having a myocardial infarction would understandably want to be under the care of a cardiac specialist to ensure their treatment is effective, evidence based, and up to date. However, in the current climate of an ageing population, long-term chronic diseases and patients with multiple comorbidities, we are in need of generalist inpatient physicians too. After all, a frail, cognitively impaired, diabetic octogenarian with advanced renal impairment who is having an acute coronary syndrome is very different from a middle aged individual with an acute coronary syndrome. Hospitalist medicine in the USA provides this high-quality generalist inpatient medical care. This article explores the model at Rush University Medical Center in -Chicago and any lessons we in the UK could learn from them.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6502633 | PMC |
| http://dx.doi.org/10.7861/futurehosp.4-2-146 | DOI Listing |
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