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March 12, 2009New England Journal of MedicineOpen Access

Growth in the Care of Older Patients by Hospitalists in the United States

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Why the study?

Has the proportion of inpatient care provided by hospitalists to older Medicare beneficiaries increased from 1995 to 2006?

Population

120,226 physicians in general internal medicine providing care to older patients in 5800 U.S. hospitals

Comparison

Care by hospitalists vs Care by traditional, non-hospital-based general…

Design

Cohort

Follow-up

1995 to 2006

Authors

YKYong‐Fang KuoGSGulshan SharmaJFJean L. Freeman

Discussion

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Member takes

Overview

Trend toward hospitalist care in older Medicare patients merits outcome evaluation; leaves open net effects on quality and costs.

Structured PICO

Has the proportion of inpatient care provided by hospitalists to older Medicare beneficiaries increased from 1995 to 2006?

P
Population
120,226 physicians in general internal medicine providing care to older patients (5% sample of Medicare beneficiaries) in 5800 U.S. hospitals
I
Intervention
Care by hospitalists (general internists deriving ≥90% of Medicare claims from hospitalized patients)
C
Comparator
Care by traditional, non-hospital-based general internists
O
Outcome
Percentage of all inpatient Medicare services provided by hospitalists and characteristics associated with receipt of hospitalist services

There was a substantial increase in the care of hospitalized older Medicare patients by hospitalist physicians in the United States from 1995 to 2006.

Cite This Study

Kuo et al. (2009) studied this question.

synapsesocial.com/papers/69ff514f6018b8d0892d76b8https://doi.org/10.1056/nejmsa0802381
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