Juul H P H Hennissen, Tessa O van den Beukel, Martin A J M Buijsen
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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.
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.