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Inpatient Neurologic Care Continued Challenges of a Neurohospitalist Model

S. Andrew Josephson, MD1
[+] Author Affiliations
1Department of Neurology, University of California, San Francisco, California
JAMA Neurol. 2013;70(7):825-826. doi:10.1001/jamaneurol.2013.2968.
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Over the past 5 years, the neurohospitalist model of care has grown rapidly in both academic and community settings and appears poised to become the dominant model of inpatient neurologic care in the United States. Initial descriptions of neurohospitalists focused on their unique ability to solve a number of existing and emerging problems in inpatient neurologic care, including the increasing complexity of neurologic inpatients, the growing financial and time pressures related to outpatient neurologic care, the responsibility of teaching trainees, and hospital and community needs for rapid, on-site evaluation of neurologic emergencies.1 As with most major changes in medicine, the increase in the number of neurohospitalists has led to the identification of a new set of challenges to the field that will need to be addressed in the coming years in order to gauge the sustainability of this model across a wide range of hospital settings.

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