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J Korean Med Assoc.  2016 May;59(5):342-344. 10.5124/jkma.2016.59.5.342.

Operating the hospitalist system

Affiliations
  • 1Department of Internal Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. helppl@hallym.ac.kr
  • 2Committee of Resident Training, Korean Association of Internal Medicine, Seoul, Korea.

Abstract

Recent changes in the Korean government's strategies for resident quotas and training condition results is creating a gap in the treatment of inpatients and threatening patient safety. The hospitalist system, which has been established and operates in the United States, has also been suggested as an alternative in Korea. In 2015, a pilot project for the implementation of a hospitalist system was successfully executed in three teaching hospitals. The most important factors for the successful implementation of a hospitalist system are to establish the job description and security of the hospitalist. In addition, securing finances and making medical insurance fee-for-service, a certification system for hospitalists, an education program, and proper salaries are needed. The introduction and management of a hospitalist system may be seen as necessary for the times, considering changing resident strategies and the reinforcement of responsibility for patient safety. The hospitalist system is a solution for the gap in the treatment of inpatients and is predicted to improve patient safety.

Keyword

Hospitalists; Resident training; Patient safety

MeSH Terms

Certification
Education
Hospitalists*
Hospitals, Teaching
Humans
Inpatients
Insurance
Job Description
Korea
Patient Safety
Pilot Projects
Salaries and Fringe Benefits
United States
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