PT -期刊文章盟Vanja c·道格拉斯盟-布莱恩j·斯科特AU -杰拉尔丁伯格AU -威廉·d·弗里曼AU -美国安德鲁·约瑟夫森TI - neurohospitalist服务对结果的影响在一个学术医疗中心- 10.1212 / WNL援助。0 b013e31826846cb DP - 2012 9月04 TA -神经首页病学第六PG - 988 - 994 - 79 IP - 10 4099 - //www.ez-admanager.com/content/79/10/988.short 4100 - //www.ez-admanager.com/content/79/10/988.full所以Neurology2012 9月04;79 AB -目的:研究neurohospitalist服务停留时间的影响,成本、患者满意度、和教育学术医疗中心。方法:这是一个回顾性队列研究使用管理数据,教育调查,标准化病人满意度调查比较结果在21个月前(n = 343)和27个月后(n = 436)引入neurohospitalist服务2006年10月在一个三级护理学术医疗中心。结果:最常见的诊断治疗周期都是脱髓鞘疾病、神经肌肉疾病、癫痫、中枢神经系统感染,和脑血管病。意思是住院时间减少neurohospitalist期间相比preneurohospitalist期间(4.6天vs 6.3天;p & lt;0.001),但在平均成本没有区别(6758 vs 7241美元;p = 0.25)或住院死亡率(1.2% vs 1.6;p = 0.61)。调整后诊断,招生来源,和疾病的严重程度,住院时间(系数−1.85,95%可信区间(CI)−2.47−1.24)和成本(CI−−系数1558,95% 2645−470)减少neurohospitalist期间。 Thirty-day readmission rates were not different between the 2 periods in adjusted analysis. There were no differences in patient satisfaction or resident trainee satisfaction between the 2 periods, but medical student satisfaction was higher on standard educator evaluations after the neurohospitalist program was introduced. Conclusions: The introduction of a neurohospitalist service at an academic medical center coincided with a reduction in length of stay and cost and a nonsignificant trend toward improvement in medical student satisfaction without affecting mortality, readmission rates, or patient satisfaction. ICU=intensive care unit; IQR=interquartile range.