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  1. The effect of full-time faculty Hospitalists on the efficiency of care at a community teaching hospital.

    Article - En anglais

    Background 

    Hospitalists are increasingly being used for inpatient care.

    Objective 

    To investigate whether the use of hospitalists is beneficial.

    Design 

    Retrospective cohort study.

    Setting 

    Inpatient medical service of a 500-bed community teaching hospital.

    Participants 

    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).

    Interventions 

    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.

    Measurements 

    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.

    Results 

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0420349

    Code Inist : 002B30A04A. Création : 25/01/1999.