The impact of hospitalists on the cost and quality of inpatient care in the United States: A research synthesis

Medical Care Research and Review

Volumn 62, Issue 4, 2005, Pages 379-406

  Coffman, Janet ^a   Rundall, Thomas G ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Cost; Evaluation; Hospitalists; Inpatient care; Physicians; Quality

Indexed keywords

CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; HEALTH CARE COST; HEALTH CARE QUALITY; HEALTH SERVICES RESEARCH; HOSPITAL CARE; HOSPITAL CHARGE; HOSPITAL PHYSICIAN; HUMAN; LENGTH OF STAY; PATIENT SATISFACTION; RANDOMIZED CONTROLLED TRIAL; REVIEW; TEACHING HOSPITAL;

HEALTH SERVICES RESEARCH; HOSPITAL COSTS; HOSPITALISTS; HOSPITALS, COMMUNITY; HOSPITALS, TEACHING; HUMANS; OUTCOME ASSESSMENT (HEALTH CARE); QUALITY OF HEALTH CARE; RANDOMIZED CONTROLLED TRIALS; UNITED STATES;

EID: 22644435064     PISSN: 10775587     EISSN: None     Source Type: Journal    
DOI: 10.1177/1077558705277379     Document Type: Review

References (42)

1. American Hospital Association. 2004. Hospital statistics. Chicago: Health Forum LLC.
2. Association of American Medical Colleges. 2004. Teaching hospitals. http://www. aamc.org/teachinghospitals.htm.
3. Auerbach, A. D., E. A. Nelson, P. K. Lindenauer, S. Z. Pantilat, P. P. Katz, and R. M. Wachter. 2000. Physician attitudes toward and prevalence of the hospitalist model of care: Results of a national survey. American Journal of Medicine 109 (8): 648-53.
4. Auerbach, A. D., R. M. Wachter, P. Katz, J. Showstack, R. B. Baron, and L. Goldman. 2002. Implementation of a voluntary hospitalist service at a community teaching hospital: Improved clinical efficiency and patient outcomes. Annals of Internal Medicine 137 (11): 859-65.
5. Bellet, P. S., and R. C. Whitaker. 2000. Evaluation of a pediatric hospitalist service: Impact on length of stay and hospital charges. Pediatrics 105 (3): 478-84.
6. Brown, M. D., A. Halpert, S. McKean, A. Sussman, and V. J. Dzau. 1999. Assessing the value of hospitalists to academic health centers: Brigham and Women's Hospital and Harvard Medical School. American Journal of Medicine 106 (2): 134-37.
7. Brown, R. G. 1998. Hospitalist concept: Another dangerous trend. American Family Physician 58 (2): 339-42.
8. Campbell, D. T., and J. C. Stanley. 1963. Experimental and quasi-experimental designs for research. Chicago: Rand McNally.
9. Craig, D. E., L. Hartka, W. H. Likosky, W. M. Caplan, P. Litsky, and J. Smithey. 1999. Implementation of a hospitalist system in a large health maintenance organization: The Kaiser Permanente experience. Annals of Internal Medicine 130 (4, Pt. 2): 355-59.
10. Davis, K. M., K. E. Koch, J. K. Harvey, R. Wilson, J. Englert, and P. D. Gerard. 2000. Effects of hospitalists on cost, outcomes, and patient satisfaction in a rural health system. American Journal of Medicine 108 (8): 621-26.
11. Diamond, H. S., E. Goldberg, and J. E. Janosky. 1998. The effect of full-time faculty hospitalists on the efficiency of care at a community teaching hospital. Annals of Internal Medicine 129 (3): 197-203.
12. Freese, R. B. 1999. The Park Nicollet experience in establishing a hospitalist system. Annals of Internal Medicine 130 (4, Pt. 2): 350-54.
13. Gregory, D., W. Baigelman, and I. B. Wilson. 2003. Hospital economics of the hospitalist. Health Services Research 38 (3): 905-18.
14. Gujarati, D. N. 1995. Basic econometrics. New York: McGraw-Hill.
15. Hackner, D., G. Tu, G. D. Braunstein, M. Ault, S. Weingarten, and Z. Mohsenifar. 2001. The value of a hospitalist service: Efficient care for the aging population? Chest 119 (2): 580-89.
16. Halpert, A. P., S. D. Pearson, H. E. LeWine, and S. C. W. Mckean. 2000. The impact of an inpatient physician program on quality, utilization, and satisfaction. American Journal of Managed Care 6 (5): 549-55.
17. Hoff, T. H., W. F. Whitcomb, K. Williams, J. R. Nelson, and R. A. Cheesman. 2001. Characteristics and work experiences of hospitalists in the United States. Archives of Internal Medicine 161 (6): 851-58.
18. Kearns, P. J., C. C. Wang, W. J. Morris, D. G. Low, A. S. Deacon, S. Y. Chan, and W. A. Jensen. 2001. Hospital care by hospital-based and clinic-based faculty: A prospective, controlled trial. Archives of Internal Medicine 161 (2): 235-41.
19. Landrigan, C. P., R. Srivastava, S. Muret-Wagstaff, S. B. Soumerai, D. Ross-Degnan, J. W. Graef, C. J. Homer, and D. A. Goldman. 2002. Impact of a Health Maintenance Organization hospitalist system in academic pediatrics. Pediatrics 110 (4): 720-28.
20. Lindenauer, P. K., R. Chehabeddine, P. Pekow, J. Fitzgerald, and E. M. Benjamin. 2002. Quality of care for patients hospitalized with heart failure: Assessing the impact of hospitalists. Archives of Internal Medicine 162 (11): 1251-56.
21. Meltzer, D., W. G. Manning, J. Morrison, M. N. Shah, L. Jin, T. Guth, and W. Levinson. 2002. Effects of physician experience on costs and outcomes on an academic general medicine service: Results of a trial of hospitalists. Annals of Internal Medicine 137 (11): 866-74.
22. Michota, F. A. 2000. Evidence-based evaluation of the hospitalist model of care. Journal of Clinical Outcomes Management 7 (1): 49-53.
23. -. 2001. Trends in hospital medicine: Hospitalist advantages revealed. Cleveland Clinic Journal of Medicine 68 (7): 659-62.
24. Molinari, C., and R. Short 2001. Effects of an HMO hospitalist program on inpatient utilization. American Journal of Managed Care 7 (11): 1051-57.
25. Ogershok, P. R., X. Li, H. C. Palmer, R. S. Moore, M. E. Weisse, and N. Ferrari 2001. Restructuring an academic pediatric inpatient service using concepts developed by hospitalists. Clinical Pediatrics 40 (12): 653-60.
26. Palmer, H. C., N. S. Armistead, M. Elnicki, A. K. Halperin, P. R. Ogershok, S. Manivannan, G. R. Hobbs, and K. Evans. 2001. The effect of a hospitalist service with nurse discharge planner on patient care in an academic teaching hospital. American Journal of Medicine 111 (8): 627-32.
27. Reddy, J. C., P. P. Katz, L. Goldman, and R. M. Wachter. 2001. A pneumonia practice guideline and a hospitalist-based reorganization lead to equivalent efficiency gains. American Journal of Managed Care 7 (12): 1142-48.
28. Rifkin, W. D., D. Conner, A. Silver, and A. Eichorn. 2002. Comparison of processes and outcomes of pneumonia care between hospitalists and community-based primary care physicians. Mayo Clinic Proceedings 77 (10): 1053-58.
29. Schroeder, S. A., and R. Schapiro. 1999. The hospitalist: New boon for internal medicine or retreat from primary care? Annals of Internal Medicine 130 (4, Pt. 2): 382-87.
30. Seid, M., K. Quinn, and P. S. Kurtin. 1997. Hospital-based and community pediatricians: Comparing outcomes for asthma and bronciolitis. Journal of Clinical Outcomes Management 4 (6): 21-24.
31. Showstack, J., P. P. Katz, and E. Weber. 1999. Evaluating the impact of hospitalists. Annals of Internal Medicine 130 (4, Pt. 2): 376-81.
32. Smith, P. C., J. M. Westfall, and R. A. Nicholas. 2002. Primary care family physicians and two hospitalist models: Comparison of outcomes, processes, and costs. Journal of Family Practice 51 (12): 1021-27.
33. Sox, H. C. 1999. The hospitalist model: Perspectives of the patient, the internist, and internal medicine. Annals of Internal Medicine 130 (4, Pt. 2): 368-72.
34. Stein, M. D., S. Hanson, D. Tammaro, L. Hanna, and A. S. Most. 1998. Economic effects of community versus hospital-based faculty pneumonia care. Journal of General Internal Medicine 13 (11): 774-77.
35. Tenner, P. A., H. Dibrell, and R. P. Taylor. 2003. Improved survival with hospitalists in a pédiatrie intensive care unit. Critical Care Medicine 31 (3): 847-52.
36. Tingle, L. E., and C. T. Lambert. 2001. Comparison of a family practice teaching service and a hospitalist model: Costs, charges, length of stay, and mortality. Family Medicine 33 (7): 511-15.
37. Wachter, R. M. 1998. Hospitalists fan winds of change, and inpatient care won't be the same. Managed Healthcare, January, 36-39.
38. -. 2002. The evolution of the hospitalist model in the United States. Medical Clinics of North America 86 (4): 687-706.
39. Wachter, R. M., and L. Goldman. 1996. The emerging role of "hospitalists" in the American health care system. New England Journal of Medicine 335 (7): 514-17.
40. -. 2002. The hospitalist movement 5 years later. Journal of the American Medical Association 287 (4): 487-94.
41. Wachter, R. M., P. Katz, J. Showstack, A. B. Bindman, and L. Goldman. 1998. Reorganizing an academic medical service: Impact on cost, quality, patient satisfaction, and education. Journal of the American Medical Association 279 (19): 1560-65.
42. Wells, R. D., B. Dahl, and S. D. Wilson. 2001. Pediatric hospitalists: Quality care for the underserved? American Journal of Medical Quality 16 (5): 174-80.