The dichotomy of Inpatient and outpatient Internal Medicine The hospital environment has changed dramatically over the last few decades.Emergency departments and critical care units have evolved to identifyand manage critically ill patients, allowing them to survive formerlyfatal diseases. At the same time, there is increasing pressure to reducethe length of stay in the hospital and to manage complex disordersin the outpatient setting. This transition has been driven not only byefforts to reduce costs but also by the availability of new outpatienttechnologies, such as imaging and percutaneous infusion catheters forlong-term antibiotics or nutrition, minimally invasive surgical procedures, and evidence that out
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