In 1948, LIFE magazine published the “Country Doctor” (http://time.com/3456085/w-eugene-smiths-landmark-photo-essay-country-doctor/), the photographic essay by W. Eugene Smith that established the iconic American physician as one who provides comprehensive care for his or her patients wherever they were, whenever they were needed. In Kremmling, Colorado, Dr Ernest Ceriani cared for people at home, in the office, and in the hospital, sometimes carrying them bodily from one place to another. Since 1948, times have changed, and comprehensive care with continuity in the relationship of a patient with “my doctor” has decreased, especially during inpatient hospital care. In 1996, Wachter and Goldman¹ heralded the emerging role of hospitalists, and the proportion of general medicine inpatient services attributed to hospitalists has increased rapidly, from 9% in 1995 to 37% in 2006 and 58% in 2013.^2,3

1948年，《生活杂志》（LIFE）发表了《乡村医生》（http://time.com/3456085/w-eugene-smiths-landmark-photo-essay-country-doctor/），这是W. Eugene Smith建立的摄影文章作为美国标志性医师，无论身在何处，何时需要，都能为患者提供全面护理。在科罗拉多州的克雷姆林，欧内斯特·塞里亚尼（Ernest Ceriani）博士在家，办公室和医院照顾人们，有时将他们从一个地方带到另一个地方。自1948年以来，时代发生了变化，尤其是在住院医院护理期间，与“我的医生”患者保持连续性的全面护理有所减少。1996年，Wachter和Goldman ¹预示hospitalists的新作用，并归因于hospitalists普药业住院服务的比例迅速增加，从9％在1995年到2006年的37％和58％，在2013年^{2 ，3}