The intensive care unit--who's in charge? The private practice view

In the past 10 years, a number of authors have expressed concern that surgeons are abdicating their traditional role of providing preoperative and postoperative care in surgical intensive care units. To study today's private practice environment, we took a survey. Questionnaires were sent to th...

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Veröffentlicht in:Archives of surgery (Chicago. 1960) Jg. 125; H. 9; S. 1105
Hauptverfasser: Trask, A L, Faber, D R
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States 01.09.1990
Schlagworte:
Critical Care - economics
Critical Care - organization & administration
General Surgery - organization & administration
Humans
Intensive Care Units - organization & administration
Malpractice
Postoperative Care - economics
Postoperative Care - methods
Surveys and Questionnaires
United States
United States
ISSN:0004-0010
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Beschreibung
Zusammenfassung:In the past 10 years, a number of authors have expressed concern that surgeons are abdicating their traditional role of providing preoperative and postoperative care in surgical intensive care units. To study today's private practice environment, we took a survey. Questionnaires were sent to the chiefs of surgery and the nurse managers of the surgical intensive care units at 188 non-university-affiliated hospitals throughout the United States. Results show that surgeons do not have the principal managing role in the intensive care unit for surgical patients in 70% to 75% of the hospitals. Results also indicated that surgeons are relinquishing their responsibilities in the direct care of the preoperative and postoperative critically ill patients. Three main reasons are given for this: (1) an ever-increasing body of critical care knowledge plus complex technology, (2) a lack of economic incentive, and (3) professional liability. To reverse this trend, these three areas must be addressed.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0004-0010
DOI:10.1001/archsurg.1990.01410210031003