[医院中的协调医师:对其实施的担忧]。

Q4 Medicine Nederlands tijdschrift voor geneeskunde Pub Date : 2024-08-28
Juul H P H Hennissen, Tessa O van den Beukel, Martin A J M Buijsen
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引用次数: 0

摘要

在 2021 年的一项裁决中,中央医疗纪律委员会通过引入 "主要临床医生 "一词,改变了对医疗服务提供者之间责任划分的要求,更加强调了每个相关医疗服务提供者自身的专业责任。主要临床医生负责监督护理的连续性和一致性,协调护理人员之间的关系,并充当联络人。尽管人们对责任分工的实施表示担忧,但各国的责任分工指南都采用了主诊医生的概念。然而,由于职责不清和缺乏最终问责制,将这些指南转化为医院的临床实践面临挑战。此外,不同机构和专业团体之间的不同解释也会危及患者安全。要降低这些风险,就必须从国家层面协调牵头临床医生角色的明确标准。在此之前,医院放弃以前的主诊医师角色可能是不明智的。
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[The coordinating practitioner in the hospital: concerns about its implementation].

In a 2021 ruling, the central medical disciplinary board changed the requirements regarding the divisions of responsibilities between health care providers by introducing the term 'lead clinician', placing more emphasis on the own professional responsibility of each care provider involved. The lead clinician oversees the continuity and coherence of care, coordinates between caregivers, and serves as a point of contact. Despite concerns about its implementation, national guidelines on responsibility division have adopted the lead clinician concept. However, translating these guidelines into clinical practice of hospitals poses challenges due to unclear responsibilities and the absence of ultimate accountability. Furthermore, variations in interpretation among institutions and professional groups could jeopardize patient safety. Clear standards for the lead clinician role that are coordinated from a national level are essential to mitigate these risks. Until then, it may be unwise for hospitals to relinquish the former role of the practitioner in lead.

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来源期刊
Nederlands tijdschrift voor geneeskunde
Nederlands tijdschrift voor geneeskunde Medicine-Medicine (all)
CiteScore
0.30
自引率
0.00%
发文量
302
期刊介绍: Het NTVG staat bekend als hét wetenschappelijke algemene medische tijdschrift. De lange historie en de degelijkheid maken het tijdschrift tot een bolwerk van medische wetenschap in druk. Ook door de goede leesbaarheid draagt het tijdschrift bij aan de voortdurende dialoog over de geneeskunde.
期刊最新文献
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