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Hospitalists: Will You "Catch" One In The Hospital?

It's an emerging trend, and one that many has not been good, the primary care
patients find confusing and physician often has little knowledge of
uncomfortable: their primary doctor what the patient experienced in the
doesn't visit them in the hospital any hospital. Records are frequently slow to
more and doesn't manage their hospital follow the patient, so on the first
care.Primary care doctors are follow-up visit the office-based doctor
increasingly turning the care of their may have scant information.Without
hospitalized patients over to specialists adequate information the PCP frequently
called "hospitalists."The hospitalist is makes adjustments to treatment plans and
a hospital-based doctor who does not see medications that are counter to the
patients in an office-based practice. He treatment plans initiated in the
or she manages the care of patients only hospital.How To Work With A HospitalistBe
while they are in the hospital, turning prepared. If your trip to the hospital is
them back over to their regular pre-planned, talk to your primary doctor
physicians when they are discharged. about the hospitalists in your chosen
During the time a patient is in the hospital. Find out which hospitalist
hospital the hospitalist is responsible communicates best with your doctor, and
for all decisions about a patient's who your doctor prefers to work with. If
care.Advantages of HospitalistsThe possible, ask your doctor to pre-arrange
hospitalist usually knows the hospital, that this hospitalist will be in charge
and hospital politics, very well. This of your care while you're in the
often enables the hospitalist to cut hospital.Arrive Armed: Never assume that
through red tape and "make things happen" things will go as planned. You may not
more efficiently than office-based feel well, and you will be under stress.
physicians.Hospitalists are more readily The chosen hospitalist may be on
available to respond to emergencies in vacation, out ill, or unavailable. Take a
the hospital. Nurses and other care staff synopsis of your medical history,
can usually reach a hospitalist more including the results of all recent
rapidly than an office-based physician, tests, with you to the hospital. Whenever
especially on evenings and possible have someone stay with you in
weekends.Continuity of care within the the hospital until you have met your
hospital is often better. When primary doctor and given him or her all the
care physicians manage inpatient hospital information you have. Have that person
care, the patient is often actually seen take notes, including the names of all
by more doctors, as doctors in larger your hospital caregivers, their contact
practices often take turns seeing all of information (phone and pager), and the
the practice's hospitalized location of their offices in the
patients.Hospitalists are usually more hospital.Sign a Release: If you can, make
accessible to family members. Families sure to sign a release of information
don't have to try to "catch" the doctor form when you are admitted. This will
in the wee hours of the morning or late give the hospitalist and everyone else on
in the evening when he or she is making your medical team permission to discuss
hospital rounds outside of office your care with the person you appoint.
hours.Disadvantages of Using a Even if you have already given that
HospitalistThe biggest disadvantage to person your Power of Attorney for Health
the movement toward hospitalists is the Care, signing a permission to release
loss of continuity of care between the information is a good idea. You might not
primary physician and the hospital. The be so ill that your Power of Attorney for
hospitalist has no previous knowledge of Health Care goes into effect. In that
his new patient. If communication between case, without authority to release
the primary care physician and the information, you might find the staff is
hospitalist is poor, it falls to the less than willing to share information
patient and the family to fill in the with the person staying with you.Molly
gaps.When a patient is discharged from Shomer helps families who are struggling
the hospital the hospitalist relinquishes with caring for aging parents.
care back to the PCP. If communication




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