Invited article: is it time for neurohospitalists?
BACKGROUND
Explosive growth of hospital-based medicine specialists, termed hospitalists, has occurred in the past decade. This was fueled by pressures within the American health care system for timely, cost-effective, and high-quality care and by the growing chasm between inpatient and outpatient care. In this article, we sought to answer five questions: 1) What is a neurohospitalist? 2) How many neurohospitalists practice in the United States? 3) What are potential advantages of neurohospitalists? 4) What are the challenges of implementing a neurohospitalist practice? 5) What effect does a neurohospitalist have on clinical outcomes?


METHODS
We queried biomedical databases (e.g., PubMed) by using the search terms "hospitalist," "neurohospitalist," and "neurology hospitalist." We also searched the Society of Hospital Medicine and the American Academy of Neurology Dendrite classified advertisement Web sites for hospitalist and neurology hospitalist growth by using the same search terms.


RESULTS
We defined neurology hospitalists (neurohospitalists) as neurologists who devote at least one-quarter of their time managing inpatients with neurologic disease. Although the number of hospitalists has grown considerably over the past decade, limited data on neurohospitalists exist. Advertisements for neurohospitalist positions have increased from 2003 through 2007, but accurate assessment of growth is limited by the lack of a central organizational affiliation and unifying terminology.


CONCLUSIONS
Health care pressures spawned the growth of medicine and pediatric hospitalists, who provide efficient, cost-effective care by reducing the length of hospitalization. Because neurologists experience the same pressures, we expect neurohospitalists to increase in number, especially within areas that have sufficient inpatient volume and resources.
Freeman
William D
WD
Department of Neurology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USA. freeman.william1@mayo.edu
Gronseth
Gary
G
Eidelman
Benjamin H
BH
D004636:Emergency Service, Hospital / Q000191:economics / Q000639:trends*; D020445:Hospitalists / Q000191:economics / Q000639:trends*; D006801:Humans; D008505:Medical Staff, Hospital / Q000592:standards / Q000706:statistics & numerical data; D009462:Neurology / Q000191:economics / Q000639:trends*; D017063:Outcome Assessment, Health Care; D010819:Physician's Role; D012017:Referral and Consultation / Q000191:economics / Q000706:statistics & numerical data / Q000639:trends; D012051:Reimbursement Mechanisms / Q000706:statistics & numerical data / Q000639:trends; D020521:Stroke / Q000175:diagnosis / Q000628:therapy; D015912:Thrombolytic Therapy / Q000592:standards; D014481:United States; D000078329:Workforce; D016526:Workload / Q000592:standards / Q000706:statistics & numerical data