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December 3, 2002Annals of Internal Medicine

Implementation of a Voluntary Hospitalist Service at a Community Teaching Hospital: Improved Clinical Efficiency and Patient Outcomes

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Why the study?

Does care by hospitalist physicians improve clinical efficiency and patient outcomes compared to community physicians in hospitalized patients?

Population

5,308 patients cared for by community or hospitalist physicians in the 2 years after implementation of a…

Comparison

Care by hospitalist physicians vs Care by community physicians

Design

Cohort

Follow-up

up to 60 days

Authors

AAAndrew D. AuerbachGeneral Cardiology

Discussion

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Implication

Hospitalist care was associated with lower mortality and resource use; leaves open causal benefit without randomized confirmation.

Structured PICO

Does care by hospitalist physicians improve clinical efficiency and patient outcomes compared to community physicians in hospitalized patients?

P
Population
5,308 patients cared for by community or hospitalist physicians in the 2 years after implementation of a voluntary hospitalist service at a community-based, urban teaching hospital
I
Intervention
Care by hospitalist physicians
C
Comparator
Care by community physicians
O
Outcome
Length of stay, costs, 10-day readmission rates, use of consultative services, in-hospital mortality rate, and mortality rate at 30 and 60 dayshard clinical

Implementation of a voluntary hospitalist service at a community teaching hospital significantly reduced length of stay, costs, and mortality compared to care by community physicians.

Cite This Study

Andrew D. Auerbach (2002) studied this question.

synapsesocial.com/papers/6a8875e38dfe8b7ec5a54a5dhttps://doi.org/10.7326/0003-4819-137-11-200212030-00006
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Emerging Role of “Hospitalists” in the American Health Care System1996 · 722 citations
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  4. 4Variation among Hospitals in Coronary-Angiography Practices and Outcomes after Myocardial Infarction in a Large Health Maintenance Organization1996 · 182 citations
  5. 5Reorganizing an Academic Medical Service1998 · 241 citations