Hospitalists are increasingly being used for inpatient care.
To investigate whether the use of hospitalists is beneficial.
Retrospective cohort study.
Inpatient medical service of a 500-bed community teaching hospital.
1620 patients in the study group, seen during the hospitalist year ; 1679 patients from the same outpatient practice as the study group, seen during the previous year (prehospitalist year) ; an unselected comparison group of 3413 patients seen during the prehospitalist year and 3223 patients seen during the hospitalist year ; and a subset of the unselected comparison group, cared for by outpatient practices, who had a prehospitalist length of stay similar to that of the study group (743 patients in the prehospitalist year and 786 in the hospitalist year).
Full-time faculty hospitalists cared for the study group, were in the hospital during normal working hours, and made decisions throughout the day.
In the prehospitalist year and in the comparison groups, primary care physicians managed their own hospitalized patients.
Length of stay ; cost of care ; costs of hematology and chemistry evaluation, pharmacy, and radiology ; and readmissions were determined for the prehospitalist and hospitalist years.
In the study group, median length of stay decreased from 6.01 to 5.01 days (P<0.001).
Median cost of care decreased from $4139 to $3552 (P<0. (...)
Mots-clés Pascal : Hôpital, Médecin, Médecin généraliste, Soin santé primaire, Malade, Relation médecin malade, Etats Unis, Amérique du Nord, Amérique, Coût, Economie santé, Prise décision, Exploration, Traitement, Etude comparative, Efficacité traitement, Homme
Mots-clés Pascal anglais : Hospital, Physician, General practitioner, Primary health care, Patient, Physician patient relation, United States, North America, America, Costs, Health economy, Decision making, Exploration, Treatment, Comparative study, Treatment efficiency, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0420349
Code Inist : 002B30A04A. Création : 25/01/1999.