The Who, What, When, Where, Whom, and How of Hospitalist Care

Editorials3 December 2002The Who, What, When, Where, Whom, and How of Hospitalist CareThe EditorsThe EditorsSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-137-11-200212030-00015 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Desires to improve inpatient care fueled the development of the hospitalist movement. To advocates of the movement, it seemed obvious that physicians who focused on hospital care would achieve better outcomes than physicians who spent most of their time in outpatient settings (1). Others, however, argued that hospitalists disrupted the continuum of care and would adversely affect clinical outcomes and patient satisfaction (2-4). Only research could resolve these disputes, and at least 19 observational studies have evaluated hospitalists' care (5). The studies, conducted mostly in academic settings with historical controls, small numbers of hospitalists, and selected patients, have generally found ...References1. Wachter RM, Goldman L. The emerging role of “hospitalists” in the American health care system. N Engl J Med. 1996;335:514-7. [PMID: 8672160] CrossrefMedlineGoogle Scholar2. Guttler S. The role of “hospitalists” in the health care system [Letter]. N Engl J Med. 1997;336:444-5; discussion 445-6. [PMID: 9011822] Google Scholar3. Nakashima WF. The role of “hospitalists” in the health care system [Letter]. N Engl J Med. 1997;336:445; discussion 445-6. [PMID: 9011823] Google Scholar4. Rubenstein W. The role of “hospitalists” in the health care system [Letter]. N Engl J Med. 1997;336:445; discussion 445-6. [PMID: 9011824] Google Scholar5. Wachter RM, Goldman L. The hospitalist movement 5 years later. JAMA. 2002;287:487-94. [PMID: 11798371] CrossrefMedlineGoogle Scholar6. Auerbach AD, Wachter RM, Katz P, Showstack J, Baron RB, Goldman L. Implementation of a voluntary hospitalist service at a community teaching hospital: improved clinical efficiency and patient outcomes. Ann Intern Med. 2002;137:859-65. LinkGoogle Scholar7. Meltzer D, Manning WG, Morrison J, Shah MN, Jin L, Guth T, et al . Effects of physician experience on costs and outcomes on an academic general medicine service: results of a trial of hospitalists. Ann Intern Med. 2002;137:866-74. LinkGoogle Scholar8. Pantilat SZ, Lindenauer PK, Katz PP, Wachter RM. Primary care physician attitudes regarding communication with hospitalists. Am J Med. 2001;111:15S-20S. [PMID: 11790363] CrossrefMedlineGoogle Scholar9. Lurie JD, Miller DP, Lindenauer PK, Wachter RM, Sox HC. The potential size of the hospitalist workforce in the United States. Am J Med. 1999;106:441-5. [PMID: 10225248] CrossrefMedlineGoogle Scholar10. Auerbach AD, Nelson EA, Lindenauer PK, Pantilat SZ, Katz PP, Wachter RM. Physician attitudes toward and prevalence of the hospitalist model of care: results of a national survey. Am J Med. 2000;109:648-53. [PMID: 11099685] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Corresponding Author: Customer Service, American College of Physicians–American Society of Internal Medicine, 190 N. Independence Mall West, Philadelphia, PA 19106. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoImplementation of a Voluntary Hospitalist Service at a Community Teaching Hospital: Improved Clinical Efficiency and Patient Outcomes Andrew D. Auerbach , Robert M. Wachter , Patricia Katz , Jonathan Showstack , Robert B. Baron , and Lee Goldman Effects of Physician Experience on Costs and Outcomes on an Academic General Medicine Service: Results of a Trial of Hospitalists David Meltzer , Willard G. Manning , Jeanette Morrison , Manish N. Shah , Lei Jin , Todd Guth , and Wendy Levinson The Who, What, When, Where, Whom, and How of Hospitalist Care Gordon D. Schiff Improved Outcomes in a Voluntary Hospitalist Model James P. Nolan Improved Outcomes in a Voluntary Hospitalist Model James P. Nolan Hospitalist Care Jonathan P. Whitney Hospitalist Care Jerome S. Tannenbaum Metrics Cited byDetermining the professional attributes of a hospitalist: experience in one Australian metropolitan hospitalTalking towards excellence: a theoretical underpinning of the dialogue between doctors and managersThe future of hospital medicine: Evolution or revolution?What effect does inpatient physician specialty and experience have on clinical outcomes and resource utilization on a general medical service?The positive impact of initiation of hospitalist clinician educatorsHospitalistsHospitalist CareJonathan P. Whitney, MDHospitalist CareJerome S. Tannenbaum, MD, PhDImproved Outcomes in a Voluntary Hospitalist ModelJames P. Nolan, MDThe Who, What, When, Where, Whom, and How of Hospitalist CareGordon D. Schiff, MDAcute Hospital Care: Letting the Family InICU Research— One Decade From Now 3 December 2002Volume 137, Issue 11Page: 930-931KeywordsHospitalistsInpatientsLength of stayMedical staffMortalityObservational studiesOutpatient clinicsOutpatientsPatientsResearch quality assessment ePublished: 3 December 2002 Issue Published: 3 December 2002 Copyright & PermissionsCopyright © 2002 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...