Praticando apenas dentro de hospitais, esses médicos estão crescendo em número.
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)
Os fornecedores da Yale Medicine explicam o papel dos hospitalistas, médicos que trabalham dentro do hospital e tratam de várias condições médicas. Foto por Getty Images
Se você ou um ente querido passou algum tempo no hospital recentemente, provavelmente encontrou um médico chamado hospitalista. E há uma boa chance de você não ter entendido completamente quem são esses médicos ou o que eles fazem.
Um hospitalista é um médico que cuida de pacientes internados, o que significa que eles só trabalham dentro de um hospital. Esses médicos geralmente concluíram o treinamento de residência em medicina interna geral, pediatria, neurologia, obstetrícia e ginecologia ou oncologia . Eles também podem ser certificados em medicina hospitalar. Os hospitalistas prestam atenção oportuna a todas as suas necessidades, incluindo diagnóstico, tratamento e coordenação de cuidados entre os muitos especialistas que você pode consultar durante a sua estadia.
Por trabalharem apenas nesse cenário, os hospitalistas sabem como navegar na equipe e nos protocolos do hospital e são especialistas em tratar as condições mais comuns que levam as pessoas ao hospital. Você pode pensar em um hospitalista como um médico de cuidados primários interno e temporário, focado em seus cuidados enquanto estiver hospitalizado. Embora os hospitalistas às vezes conheçam bem seus pacientes, eles não continuam a cuidar deles após a alta.
E assim como o restante da medicina se torna cada vez mais especializado, o mesmo se aplica à medicina hospitalar. Agora, mais subespecialistas médicos, incluindo gastroenterologistas, estão optando por trabalhar principalmente em hospitais.
Conversamos com vários hospitalistas da Yale Medicine para entender melhor o que eles fazem e como essa especialidade surgiu. Abaixo estão as respostas para as perguntas mais frequentes.
Como surgiu o campo hospitalista?
O médico de cuidados primários (PCP) evoluiu de médicos que carregavam bolsas de couro pretas e faziam visitas domiciliares a médicos que trabalham em consultórios. Médicos de consultório também costumavam verificar seus pacientes no hospital se eles acabassem lá durante uma emergência, tivessem um procedimento cirúrgico ou estivessem em tratamento por um especialista.
No início da década de 1990, com as tarefas administrativas se acumulando e a vida, em geral, cada vez mais complicada, os PCPs sobrecarregados estavam achando cada vez mais difícil visitar seus pacientes hospitalizados antes ou depois de um longo dia vendo pessoas em seus escritórios. Enquanto isso, à medida que os hospitais se reorganizavam em um esforço contínuo para melhorar o atendimento aos pacientes internados, os líderes perceberam que fazia sentido ter médicos internos que fossem gerais, mas especializados em cuidar de pacientes hospitalizados.
O termo “hospitalista” foi cunhado pela primeira vez por dois médicos que escreveram sobre médicos de hospitais no The New England Journal of Medicine em 1996. Ele pegou rapidamente. O número de hospitalistas praticantes cresceu para mais de 50.000, tornando-se a especialidade médica que mais cresce nos Estados Unidos.
Um hospitalista tem habilidades diferentes de um PCP?
A formação médica e as competências de um hospitalista e de um PCP são as mesmas. A diferença é o ambiente em que praticam a medicina. Os hospitalistas trabalham exclusivamente em hospitais e, portanto, estão mais familiarizados com exames e procedimentos hospitalares comuns, bem como com condições hospitalares, como pneumonia adquirida no hospital.
“Eles também conhecerão os padrões e protocolos de controle de infecção mais atualizados para o hospital, o que é importante”, diz Thomas Donohue, MD , cardiologista da Yale Medicine e diretor do Hospitalist Service do Yale New Haven Hospital .
Um hospitalista só o verá durante a sua estadia no hospital. Quando tiver alta, você retornará aos cuidados do seu PCP. Uma maneira de pensar na diferença entre um hospitalista e um PCP são seus objetivos: o hospitalista trabalha para atender a todas as suas necessidades imediatas enquanto você está hospitalizado, e seu foco é ajudá-lo a voltar para casa. É uma relação de curto prazo. Por outro lado, seu PCP lida com os cuidados ao longo de sua vida, incluindo o gerenciamento de hipertensão , diabetes ou outras condições de longo prazo.
Qual é o valor de um hospitalista?
Como as pessoas vivem mais e visitam o hospital com problemas médicos múltiplos e complicados, há necessidade de especialistas treinados para cuidar de pacientes internados, explica o Dr. Donohue. Para ilustrar, ele descreve dois cenários hospitalares comuns: câncer e fratura de quadril .
“Um oncologista pode tratar o câncer de um paciente hospitalizado, mas pode não ser tão habilidoso no tratamento da insuficiência renal ou pneumonia de um paciente ”, diz o Dr. Donohue, acrescentando que as duas últimas condições são comuns entre as pessoas no hospital. “Os hospitalistas têm amplo conhecimento em todas as questões que afetam os pacientes hospitalizados e podem gerenciar todos os problemas em segundo plano.”
Isso também é verdade para pacientes com fratura de quadril, acrescenta o Dr. Donohue. “A idade média de um paciente com fratura de quadril no hospital é de 81 anos”, diz ele. “E poucas pessoas nessa faixa etária chegam sem outros problemas de saúde. Isso significa que temos que descobrir como consertar o quadril e levá-los para casa enquanto gerenciamos a pressão arterial e quaisquer outras condições que possam ter”.
Os hospitalistas podem se especializar em certas disciplinas?
Sim, alguns hospitalistas são especializados em pediatria, por exemplo. Além disso, outras especialidades adotaram a medicina hospitalar. Por exemplo, os hospitalistas de gastroenterologia (GI) são certificados em gastroenterologia e medicina interna e tratam apenas pacientes hospitalizados com problemas gastrointestinais agudos.
“A gastroenterologia, por sua própria natureza, cruza-se com uma variedade de outras áreas médicas, tornando-se um ponto de acesso para o desenvolvimento de hospitalistas gastrointestinais”, diz Darrick Li, MD, PhD , hospitalista de Yale Medicine GI. “Os hospitalistas GI ajudam os pacientes a obter acesso mais rápido a consultas e procedimentos apropriados, e também facilitam rapidamente a tomada de decisões multidisciplinares e planos de gerenciamento entre eles, nutricionistas, cirurgiões e uma variedade de outras especialidades dentro do hospital”.
Além disso, um hospitalista GI não apenas tratará o sangramento GI de um paciente e outras condições graves, mas também se concentrará em deixar os pacientes à vontade em um ambiente desconhecido, diz Kenneth Hung, MD, MS , hospitalista GI da Yale Medicine.
“Estar no hospital é muito indutor de ansiedade. Os pacientes não sabem o que está acontecendo. Então, eu tento capacitá-los e explicar as coisas de uma maneira simples”, diz Dr. Hung. “Explicar o que está acontecendo e dar às pessoas tempo para digerir a informação é útil.”
Curiosamente, os hospitalistas gastrointestinais não são os principais cuidadores de pacientes hospitalizados, explica o Dr. Hung. Em vez disso, eles atuam como consultores que oferecem informações e executam procedimentos. “Assim, temos menos coordenação do cuidado do que os hospitalistas especializados em Medicina Interna; eles são realmente os principais cuidadores de pacientes hospitalizados”, diz o Dr. Hung.
O movimento crescente em direção à subespecialização hospitalar segue a tendência geral da medicina, que está na direção de uma maior especialização, acrescenta Alexis Rodriguez, MD , hospitalista pediátrico da Yale Medicine que cuida de recém-nascidos por meio de adolescentes.
“Antes, eram os pediatras gerais que cuidavam das crianças para todas as suas necessidades, no hospital ou no consultório”, diz ela. “Mas agora até as crianças costumam consultar diferentes especialistas.”
Com recém-nascidos, Dr. Rodriguez diz que os hospitalistas pediátricos ajudam aqueles que passam por problemas nos primeiros dias de vida. “Isso pode incluir apoiar a mãe e a criança com a amamentação, abordar problemas respiratórios ou quaisquer outros problemas”, diz ela. “Para crianças mais velhas, os problemas comuns que tratamos incluem asma , gripe , desidratação e qualquer outra coisa que deixe uma criança doente o suficiente para estar no hospital. Tentamos descobrir se eles têm alguma doença subjacente e levá-los ao ponto em que possam fazer a transição para o médico ambulatorial. Fazemos isso de forma rápida e eficaz.”
Como hospitalista pediátrica, a Dra. Rodriguez diz que muito de seu tempo é gasto gerenciando a experiência para as famílias. “E a outra grande parte do trabalho é se comunicar com todas as equipes envolvidas e organizá-lo de forma que as famílias se sintam confiantes no cuidado que seu filho está recebendo”, diz ela.
Como os hospitalistas impactam os cuidados de saúde?
“Depois que o movimento hospitalista surgiu na década de 1990, tornou-se evidente a partir de vários estudos que o uso de hospitalistas melhorou várias métricas, incluindo tempo de permanência, despesas hospitalares, a velocidade com que os pacientes recebem cuidados adequados, o tempo que passam no hospital, e satisfação geral”, diz Dr. Li.