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  1. Improved continuity of care in a community teaching hospital model.

    Article - En anglais

    Hypothesis : We created an ambulatory resident clinic in a community teaching hospital to improve the continuity of care in a surgery residency program.

    Design 

    A retrospective chart review analysis.

    Setting 

    A community hospital, general surgery residency training program, and its ambulatory practice.

    Interventions 

    Providence Hospital, Southfield, Mich, has established a new model, the Surgical Associates of Michigan, which is an association comprising private practice physicians serving as full-time faculty in the Department of Surgery.

    In addition to clarification of teaching requirements and reimbursement for educational activities, the most dramatic feature is the relocation of private practice offices and the staff surgical office to one central location within the hospital.

    The proximity of the staff and private surgical offices facilitates closer interaction of attending physicians, residents, and patients.

    Main Outcome Measures 

    Compliance rates of continuity of patient care provided by the same resident, as presented by the Surgery Residency Review Committee, including confirmation of diagnosis, provision of preoperative care, discussion with attending physician, selection and provision of intervention, direction of postoperative care, and postdischarge follow-up.

    Results 

    Since the inception of this arrangement at our institution, surgical residents have seen 229 staff patients and 465 private patients in the offices under supervision. (...)

    Mots-clés Pascal : Communauté, Centre hospitalier universitaire, Ambulatoire, Organisation santé, Soin, Chirurgie, Homme, Continuité soins

    Mots-clés Pascal anglais : Community, Teaching hospital, Ambulatory, Public health organization, Care, Surgery, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0280581

    Code Inist : 002B30A05. Création : 16/11/1999.