|
An obstetric hospitalist (Ob hospitalist or OB/GYN hospitalist) is an obstetrician and gynaecologist physician who is either employed by a hospital or a physician practice and whose duties include providing care for laboring patients and managing obstetric emergencies. Some Ob hospitalists also have responsibilities including resident and medical student teaching; providing backup support for family practitioners and nurse midwives, assisting private physicians with surgery, assuming care for Ob and Gyn unassigned patients and providing vacation coverage for the private practicing physician.() The first known Ob hospitalist program started in 1989 at Alta Bates Medical Center in Berkeley, California. The number of Ob hospitalist programs has grown exponentially over the past several years, increasing from 61 known programs in 2009 to 194 programs in 2013.() ==History== The term "hospitalist" was first used in a 1996 New England Journal of Medicine article by Robert Wachter and Lee Goldman(). They described a "new breed" of inpatient medical specialist who would be responsible for management of hospital patients. The hospitalists are typically physicians who spend more than 25% of their time caring for inpatients. They have the responsibility for a patient’s in-hospital care, similar to the way that primary care physicians are responsible for outpatient care. Wachter & Goodman theorized that doctors who practiced inpatient medicine exclusively would provide care that was more efficient, of better quality, at a lower cost, and ultimately would provide better value for patients. Since the mid-1990s, the hospitalist movement has experienced significant growth. In 2012, more than 30,000 hospitalists staffed 70% of the hospitals in the US(). Originally, the hospitalist community was primarily made up of general internists, family physicians and pediatricians. Specialty-care hospitalists soon followed, including neurologists (neurohospitalists), surgeons (surgicalists), psychiatric hospitalists, orthopedic hospitalists, dermatology hospitalists and obstetricians (termed laboriousts, Ob hospitalists or obgyn hospitalists). The term ''laborioust'' was coined in an article written in 2002 by Louis Weinstein, MD in the American Journal of Obstetrics and Gynecology. Weinstein focused on the demands obstetricians face every day; from their offices, multiple telephone calls and patients in the hospital. In the article he wrote, "To improve the survivability and well-being of the obstetrician, I propose a new focus of practice for the practitioner, to be called the laborist. The laborist position is perfect for the individual who desires to practice obstetrics but who wishes to avoid the aspects of an office practice. This individual is available on the delivery floor to provide prompt, continuous, and efficient care to the laboring patient or to the patient who needs evaluation for an obstetric problem."() 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「Obstetric hospitalist」の詳細全文を読む スポンサード リンク
|