Neuro-Ophthalmology & Neuro-Otology
Toxic and nutritional deficiency optic neuropathies
Nov. 24, 2024
MedLink®, LLC
3525 Del Mar Heights Rd, Ste 304
San Diego, CA 92130-2122
Toll Free (U.S. + Canada): 800-452-2400
US Number: +1-619-640-4660
Support: service@medlink.com
Editor: editor@medlink.com
ISSN: 2831-9125
Toll Free (U.S. + Canada): 800-452-2400
US Number: +1-619-640-4660
Support: service@medlink.com
Editor: editor@medlink.com
ISSN: 2831-9125
Worddefinition
At vero eos et accusamus et iusto odio dignissimos ducimus qui blanditiis praesentium voluptatum deleniti atque corrupti quos dolores et quas.
The evolution of the United States healthcare system has posed numerous challenges to neurology practices around the country that particularly impact the hospital setting. Traditional inpatient models based on limited coverage provided by predominantly outpatient-based providers have become nearly untenable in a clinical and regulatory environment increasingly focused on short hospital stays, cost-effectiveness, electronic documentation, and quality metrics. In many instances, neurologists recognize both a widening knowledge gap and severely limited availability that requires medicine hospitalists to take the lead in managing complicated inpatients without expert guidance. This article addresses the role of the burgeoning subspecialty of hospital neurology in which neurohospitalists take primary responsibility for providing neurologic expertise in the hospital. This is a critical issue many private practices and academic departments are facing as neurohospitalist programs proliferate across the country (18; 07; 14; 17; 02; 16; 08; 15).
The neurohospitalist model has two main theoretical advantages over more traditional inpatient care models: (1) expertise in managing acute neurologic disorders and navigating an increasingly complex healthcare system, and (2) availability to patients, staff, and trainees in the absence of extensive commitments in outpatient or laboratory settings. Neurohospitalists represent a group of neurologists ideally situated to effectively and efficiently care for hospitalized patients, lead interdisciplinary care teams, work with hospital administration to improve the value of neurologic care, and train house staff and medical students. Multiple factors internal and external to clinical neurology have provided an opportunity that could be truly transformative – not only changing the way hospital-based neurologic care is provided, but allowing neurologists to expand and enrich outpatient clinics, research laboratories, and neurologic education.
Escalating economic pressures, a complex regulatory environment, and an ever-expanding scientific knowledge base are threatening to make traditional models for hospital-based neurologic care untenable. Similar to medical hospitalists nearly 20 years ago, neurohospitalists are an emerging group of inpatient subspecialists that have rapidly evolved as a way to bridge the widening gap between increasingly focused outpatient neurologists and the demands of inpatient care for acute neurologic disease. In this article, the author reviews advantages and disadvantages of novel models for hospital-based neurologic care and their potential impact on the future practice of neurology.
• The evolution of the U.S. healthcare system has posed numerous challenges to neurology practices around the country that particularly impact hospitalized patients in a clinical and regulatory environment increasingly focused on short hospital stays, cost-effectiveness, electronic documentation, and quality metrics. | |
• Neurohospitalists represent a burgeoning subspecialty group of neurologists ideally situated to effectively and efficiently care for hospitalized patients, lead interdisciplinary care teams, work with hospital administration to improve the value of neurologic care, and train house staff and medical students. | |
• A sea of change is underway in the provision of neurologic care, which will have a substantial impact on current and future neurologists. |
Nearly 3,000 illustrations, including video clips of neurologic disorders.
Every article is reviewed by our esteemed Editorial Board for accuracy and currency.
Full spectrum of neurology in 1,200 comprehensive articles.
Listen to MedLink on the go with Audio versions of each article.
MedLink®, LLC
3525 Del Mar Heights Rd, Ste 304
San Diego, CA 92130-2122
Toll Free (U.S. + Canada): 800-452-2400
US Number: +1-619-640-4660
Support: service@medlink.com
Editor: editor@medlink.com
ISSN: 2831-9125