Performance of a Hospitalist-run Ward: a Prospective Observational Study

The recruitment status of this study is unknown because the information has not been verified recently.
Verified October 2009 by National Taiwan University Hospital.
Recruitment status was  Recruiting
Sponsor:
Information provided by:
National Taiwan University Hospital
ClinicalTrials.gov Identifier:
NCT00997646
First received: October 15, 2009
Last updated: October 16, 2009
Last verified: October 2009
  Purpose

To realize performance of a new system - hospitalist-run ward in Taiwan.


Condition
Performance of a Hospitalist-run Ward

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Prospective

Further study details as provided by National Taiwan University Hospital:

Primary Outcome Measures:
  • Cost and quality of this hospitalization [ Time Frame: 2 years ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Mortality and morbidity of this hospitalization [ Time Frame: 2 years ] [ Designated as safety issue: No ]

Estimated Enrollment: 500
Study Start Date: October 2009
Estimated Study Completion Date: October 2011
Estimated Primary Completion Date: October 2011 (Final data collection date for primary outcome measure)
Groups/Cohorts
Patients in hospitalist-run ward
Patients was admitted from ER to a hospitalist-run ward.
Patients in conventional ward
Patients was admitted from ER to a non hospitalist-run ward.

Detailed Description:

The emergency department (ED) of National Taiwan University hospital manages a large amount of patients load in Taipei metropolitan. The short-stay unit in our ED is a pool for those needing observation or following management. However, the length of ED stay seems to be longer than those reported in western literature. It might be caused by limited facility availability of our ward. Actually, the bed vacancy of our ward is not only reserved for patients from ED but also for those from outpatients or other hospitals. A full ward for taking over the patients from ED only might be a solution in the future. However, internists and surgeons who care most of hospitalized patients are currently believed not a career priority because of their high risk and loading but relative low payment by National Health insurance in Taiwan. Under the deficiency of residents for patient-care, a system of hospitalist-run ward should be established.

The role of hospitalist, an in-patient physician, has been discussed since 1996. The pros and cons were debated controversially. The disadvantage is that the continuity of patient care will be interrupted by primary care physician. In addition, discharged summary are usually not completed in following clinic. On the other hand, the hospitalists need less cost than internists in recent studies but the quality and safety was considered similar. Actually, it is widely accepted that hospitalist can do an efficient job of handling inpatient admissions. The field has also continued to grow worldwide in recent decades. A hospitalist-run ward becomes more frequent for common but relatively low risk diseases including exacerbation of chronic obstructive pulmonary disease, pneumonia, urinary tract infection, ischemic stoke, cellulitis and congestive heart failure. Of course, some disease entities need longer length of hospital stay in nature.

We are thus interested in the efficiency of a hospitalist-run ward in Taiwan. Therefore, we set up a hospitalist-run ward for taking over the patients who needed hospitalization from our ED and observe the performance of the ward and the outcome of the in-patients.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population

The patients who was admitted to a hospitalist-run ward

Criteria

Inclusion Criteria:

  • age more than 18 years
  • admitted from Emergency department

Exclusion Criteria:

  • without informed consent
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00997646

Contacts
Contact: Chin-Chung Shu, MD 8860972653087 stree139@yahoo.com.tw

Locations
Taiwan
National Taiwan University Hospital Recruiting
Taipei, Taiwan, 100
Contact: Chin--Chung Shu, MD    886-0972653087      
Principal Investigator: Chin-Chung Shu, MD         
Sponsors and Collaborators
National Taiwan University Hospital
  More Information

No publications provided

Responsible Party: Chin-Chung Shu, National Taiwan University Hospital
ClinicalTrials.gov Identifier: NCT00997646     History of Changes
Other Study ID Numbers: 200910008R
Study First Received: October 15, 2009
Last Updated: October 16, 2009
Health Authority: Taiwan: Department of Health

Keywords provided by National Taiwan University Hospital:
Performance
hospitalist
ward
hospitalization

ClinicalTrials.gov processed this record on October 23, 2014