Dr. Andres Soto, Chief of Hospital Medicine with Baptist Health South Florida, says hospitalist have been the fastest-growing specialty in the United States in the last 25 years. "Dr. Robert Wagner, at the University of California San Francisco, wrote an article in 1996, describing the role of a hospitalist." Convenience, efficiency, financial strains reduction on primary care doctors, patient safety, cost-effectiveness for hospital, and need for more specialized and coordinated care for hospitalized patients are some of the reasons for having a hospitalist.
Dr. Andres Soto, Chief of Hospital Medicine with Baptist Health South Florida, explains a hospitalist is a doctor who is specialized in the care of acutely ill patients in the hospital. "We do not have an office, we expand all of our time and expertise in the care of patients in the hospital." He says in a hospital they need a hospitalist, because as healthcare becomes more complex, and patients are sicker, you need the expertise of different specialties, "You need somebody who takes care of the patients as a whole."
Dr. Andres Soto, Chief of Hospital Medicine with Baptist Health South Florida, says as much technology they have, the history of what happened to the patient is still the most important thing to do in a diagnosis. "Every information the patient can give us is extremely important, that's what we use to create a diagnosis and make sure that we do the necessary tests to confirm what we are suspecting." He also explains a lot of the things that they see can be preventable or can be treated in a different way if they have the information on time.
Dr. Andres Soto, Chief of Hospital Medicine with Baptist Health South Florida, explains in a hospitalist team there are physicians, nurse practitioners, and physician assistants. He says the team needs to get information from the primary care doctors, making sure that they know as much as they can about this patient, and coordinate with the specialists what the next treatment is going to be.
Dr. Andres Soto, Chief of Hospital Medicine with Baptist Health South Florida, explains as we get older, our cognitive capacity changes, and that is a risk factor to have more falls. "When you have a fall, a lot of things start going downhill." He also says diabetes is also a risk factor, because you can have more falls if you have neuropathy, and you cannot know exactly what happened, you can trip something, not feel it and have a fall.