Future healthcare journal最新文献_第2页

Acute physicians in medical leadership: Essential, or nice to have? 医学领导中的急症医生：必要还是好？

Future healthcare journal Pub Date : 2026-06-25 eCollection Date: 2026-06-01 DOI: 10.1016/j.fhj.2026.100535

Clare Carasco, Sanjay Krishnamoorthy

引用次数: 0

Acute medicine 2050: A connected future of care. 急性医学2050：连接的未来护理。

Future healthcare journal Pub Date : 2026-06-25 eCollection Date: 2026-06-01 DOI: 10.1016/j.fhj.2026.100530

Ragit Varia

引用次数: 0

Acute internal medicine as the engine room of the modern hospital: The Midland Metropolitan University Hospital blueprint. 急症内科作为现代医院的机舱：米德兰城市大学医院蓝图。

Future healthcare journal Pub Date : 2026-06-25 eCollection Date: 2026-06-01 DOI: 10.1016/j.fhj.2026.100534

Sarbjit Clare, Jane Ho, Rachel Barlow

{"title":"Acute internal medicine as the engine room of the modern hospital: The Midland Metropolitan University Hospital blueprint.","authors":"Sarbjit Clare, Jane Ho, Rachel Barlow","doi":"10.1016/j.fhj.2026.100534","DOIUrl":"10.1016/j.fhj.2026.100534","url":null,"abstract":"Modern hospitals are increasingly defined by their ability to manage undifferentiated, complex acute medical demand rather than elective programmes or specialist services. The Midland Metropolitan University Hospital (MMUH) opened in October 2024, and is one of the first major UK acute hospitals deliberately designed around an acute internal medicine (AIM)-centred model. This article describes the clinically led design principles underpinning MMUH, how AIM was positioned as the operational core of the hospital, and reports early results demonstrating improvements in flow, bed occupancy, emergency access, workforce resilience, mortality and infection control. Despite consolidating two legacy hospital sites into a single building and opening with 100 fewer acute beds, MMUH has delivered measurable operational improvements within months of opening. These figures provide a compelling blueprint for the New Hospital Programme (NHP), demonstrating how embedding AIM at the architectural and strategic heart of hospital design can enhance safety, efficiency and patient outcomes. These findings represent early outcomes, and longer-term follow-up is required to assess the durability, sustainability and generalisability of the observed improvements.","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 2","pages":"100534"},"PeriodicalIF":0.0,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13316405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Acute medicine and the urgent care crisis: From pressure point to system solution. 急症医学与急诊危机：从压力点到系统解决。

Future healthcare journal Pub Date : 2026-06-25 eCollection Date: 2026-06-01 DOI: 10.1016/j.fhj.2026.100539

Anika Wijewardane, Mark Holland

{"title":"Acute medicine and the urgent care crisis: From pressure point to system solution.","authors":"Anika Wijewardane, Mark Holland","doi":"10.1016/j.fhj.2026.100539","DOIUrl":"10.1016/j.fhj.2026.100539","url":null,"abstract":"Acute medicine was established to deliver early specialist assessment and management for patients requiring urgent medical care, typically within the first 72 h of admission. Evidence demonstrates that structured acute medical units (AMUs) and same-day emergency care (SDEC) services are associated with reduced length of stay and improved patient flow. However, inconsistent early access to AMU and suboptimal SDEC utilisation have diluted this model within increasingly pressured urgent and emergency care systems. This article reviews the intended role of acute medicine and examines contemporary challenges in service configuration and delivery. Published evidence and national benchmarking data are considered, alongside a case study describing restoration of a structured AMU model in a large district general hospital. Interventions focused on strengthened clinical leadership, defined admission pathways, multidisciplinary team integration and explicit performance metrics aligned to early discharge. These changes were associated with reduced length of stay, increased direct discharge rates and improved patient flow from the emergency department into AMU. Re-establishing acute medicine's core function offers a practical and scalable approach to improving urgent care performance.","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 2","pages":"100539"},"PeriodicalIF":0.0,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13316471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Digital solutions in acute medicine: Will electronic health records join up the patient journey (soon?). 急症医疗的数字化解决方案：电子健康记录是否会加入病人的旅程（很快？）

Future healthcare journal Pub Date : 2026-06-25 eCollection Date: 2026-06-01 DOI: 10.1016/j.fhj.2026.100538

Christian P Subbe, Anne Kinderlerer, Yogini H Jani

{"title":"Digital solutions in acute medicine: Will electronic health records join up the patient journey (soon?).","authors":"Christian P Subbe, Anne Kinderlerer, Yogini H Jani","doi":"10.1016/j.fhj.2026.100538","DOIUrl":"10.1016/j.fhj.2026.100538","url":null,"abstract":"Acute medicine provides care to patients during the first 72 h of their hospital stay. Clinicians face unique challenges of complexity in having to care simultaneously for groups of patients with multiple medical conditions and often complex needs. Digital innovation is central to modern clinical practice, yet its capacity to improve quality of care remains contested. This narrative review explores what acute physicians require from electronic health record (EHR) systems, drawing on evidence from usability studies, implementation evaluations and quality frameworks. Despite substantial investment, evidence of benefits for clinical outcomes, cost-effectiveness and user satisfaction remains modest. There is limited research on impact on mortality, efficiency and patient experience. Most research demonstrates inconsistent effects on process and intermediate outcomes such as clinical documentation quality (legibility) or improvements in medication safety. Poor system design based on work as described/imagined, rather than work as actually done, contributes to clinician burnout and undermines system adoption. Despite this, the review identifies good practice examples that show the potential for transformation in this challenging area of medical care. Future progress depends on integrating human factors science, rigorous usability assessment and responsive design. Research will need to evidence equity and sustainability. Acute physicians should 'expect more': systems that provide the right information, in the right context, at the right time - first time.","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 2","pages":"100538"},"PeriodicalIF":0.0,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13316380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Point-of-care diagnostics are central to acute medicine delivery. 即时诊断对急性药物输送至关重要。

Future healthcare journal Pub Date : 2026-06-25 eCollection Date: 2026-06-01 DOI: 10.1016/j.fhj.2026.100536

Catherine Atkin, Murali Veerabahu, Daniel Lasserson, Sarb Clare

引用次数: 0

Decision making at the front door. 在前门做决定。

Future healthcare journal Pub Date : 2026-06-25 eCollection Date: 2026-06-01 DOI: 10.1016/j.fhj.2026.100543

Andrew Duncombe

引用次数: 0

'Seen, sorted and sent home' - A patient's desired outcome from urgent and emergency care. “看完、分类、送回家”——病人希望得到的紧急护理结果。

Future healthcare journal Pub Date : 2026-06-25 eCollection Date: 2026-06-01 DOI: 10.1016/j.fhj.2026.100529

Sue Astbury

引用次数: 0

The FHJ debate: There is no evidence for the drive towards virtual wards. 关于FHJ的争论：没有证据表明人们倾向于虚拟病房。

Future healthcare journal Pub Date : 2026-06-25 eCollection Date: 2026-06-01 DOI: 10.1016/j.fhj.2026.100544

Tim Cooksley, Kyaw Myat Thu

引用次数: 0

Improving time to TAVI with a local TAVI clinic: A single-centre quality improvement project. 通过当地TAVI诊所改善TAVI的时间：单一中心质量改善项目。

Future healthcare journal Pub Date : 2026-04-29 eCollection Date: 2026-06-01 DOI: 10.1016/j.fhj.2026.100537

Ravi Chotalia, Mohammed El-Tayeb, Jan Kovac, Elved Roberts, Kazi Adnan, Juan Fernandez, Vinod Venugopal

{"title":"Improving time to TAVI with a local TAVI clinic: A single-centre quality improvement project.","authors":"Ravi Chotalia, Mohammed El-Tayeb, Jan Kovac, Elved Roberts, Kazi Adnan, Juan Fernandez, Vinod Venugopal","doi":"10.1016/j.fhj.2026.100537","DOIUrl":"10.1016/j.fhj.2026.100537","url":null,"abstract":"Introduction: Delays to transcatheter aortic valve implantation (TAVI) carry significant morbidity and mortality, with patients referred from non-tertiary centres experiencing significantly longer waiting times.Methods: A local TAVI clinic was established in January 2024. Data were collected from 2021 to 2024. The primary outcome was time from referral to TAVI. Comparisons were made between our centre, the tertiary centre, another referring centre with a dedicated TAVI pathway, and centres without dedicated clinics. Secondary outcomes included aortic stenosis-related hospitalisation.Results: Median time to TAVI significantly decreased following clinic establishment: 218 days pre-clinic vs 77 days post-clinic, p < 0.0001. Time to TAVI was comparable to tertiary and other dedicated TAVI-pathway centres and shorter than referral centres without dedicated clinics. Aortic tenosis-related hospitalisations were significantly lower: nine (12.5%) pre-clinic vs five (4.0%) post-clinic, p = 0.025.Conclusion: The introduction of a local TAVI clinic in our centre was associated with reduced time to TAVI and fewer aortic stenosis-related hospitalisations.","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 2","pages":"100537"},"PeriodicalIF":0.0,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13196311/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148019058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0