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Korean J Med > Volume 89(1); 2015 > Article
기타- 일반내과
The Korean Journal of Medicine 2015;89(1): 1-5.
미국의 호스피탈리스트 흐름과 한국형 호스피탈리스트 도입방안
장성인1,2, 장석용1,2, 박은철1,2
1연세대학교 의과대학 예방의학교실
2연세대학교 의과대학 보건정책 및 관리연구소
Trends of US Hospitalist and Suggestions for Introduction of Korean Hospitalist
Sung-In Jang1,2, Suk-yong Jang1,2, Eun-Cheol Park1,2
1Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea
2Institute of Health Services Research, Yonsei University College of Medicine, Seoul, Korea
Corresponding Author: Eun-Cheol Park ,Tel: +82-2-2228-1862, Fax: +82-2-392-8133, Email: Ecpark@yuhs.ac
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
A gap in the number of physicians caring for inpatients is expected in 2014 based on the restricted working hours for Korean medical residents. One potential solution is the use of hospitalists. The US hospitalist movement has proliferated due to high-quality care and economics. This movement has brought positive changes including a shorter length of hospital stay, increased quality of care, and greater patient satisfaction. Because the Korean government controls all suppliers and maintains a low financial compensation level for universal coverage, hospitals do not have the financial resources to introduce hospitalists. Therefore, in contrast to the US, the use of hospitalists must be developed as a cost-compensated system in Korea. Institutional strategies must be introduced to develop a hospitalist system in Korea. A hospitalist system in Korea would be distinct from that in the US. Further studies and specific strategies are needed that consider Korea’s circumstances to effectively introduce a hospitalist system.
Keywords: Hospitalists; Korean hospitalist system; Inpatient care; Hospital medicine; Hospitals
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