What effect does inpatient physician specialty and experience have on clinical outcomes and resource utilization on a general medical service?

Journal of General Internal Medicine

Volumn 19, Issue 5 PART 1, 2004, Pages 395-401

  Parekh, Vikas ^a,f   Saint, Sanjay ^a,b,c   Furney, Scott ^d   Kaufman, Samuel ^c   McMahon, Laurence ^a,e  

^a UNIVERSITY OF MICHIGAN MEDICAL SCHOOL   (United States)

^b VA ANN ARBOR HEALTHCARE SYSTEM   (United States)

^c UNIVERSITY OF MICHIGAN HEALTH SYSTEM   (United States)

^d CAROLINAS MEDICAL CENTER   (United States)

^e UNIVERSITY OF MICHIGAN   (United States)

^f UNIVERSITY OF MICHIGAN   (United States)

Author keywords

Cost; Hospitalist; Length of stay; Outcomes; Subspecialist

Indexed keywords

ADULT; ARTICLE; COHORT ANALYSIS; EXPERIENCE; FEMALE; HEALTH CARE UTILIZATION; HOSPITAL ADMISSION; HOSPITAL COST; HOSPITAL PATIENT; HOSPITAL PHYSICIAN; HOSPITALIZATION; HUMAN; MALE; MEDICAL EDUCATION; MEDICAL SERVICE; MEDICAL SPECIALIST; MEDICAL STAFF; MORTALITY; PHYSICIAN; RESOURCE ALLOCATION; RHEUMATOLOGY; TREATMENT OUTCOME;

EID: 2442432654     PISSN: 08848734     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1525-1497.2004.30298.x     Document Type: Article

References (14)

1. Lurie J, Miller D, Lucknaw P, Wachter R, Sox H. The potential size of the hospitalist workforce in the United States. Am J Med. 1999;106:441-5.
2. Wachter R. An introduction to the hospitalist model. Ann Intern Med. 1999;130:338-42.
3. Wachter R, Goldman L. The hospitalist movement 5 years later. JAMA. 2002;287:487-94.
4. Wachter R, Katz P, Showstack J, Bindman A, Goldman L. Reorganizing an academic medical service: impact on cost, quality, patient satisfaction and education. JAMA. 1998;279:1560-5.
5. Diamond HS, Goldberg E, Janoskly JE. The effect of full time faculty hospitalists on efficiency of care at a community teaching hospital. Ann Intern Med. 1998;129:197-203.
6. Kearns P, Way C, Morris W, et al. Hospital care by hospital-based and clinic-based faculty: a prospective controlled trial. Arch Intern Med. 2001;161:235-41.
7. Auerbach A, Wachter R, Katz P, Showstack J, Baron R, Goldman L. Implementation of a voluntary hospitalists service at a community teaching hospital: improved clinical efficiency and patient outcomes. Ann Intern Med. 2002;137:859-65.
8. Meltzer D, Manny W, Morrison J, 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.
9. Palmer H, Armistead N, Marivannan S, et al. The effect of a hospitalist service on patient care in an academic teaching hospital. J Gen Intern Med. 1999;14(suppl):S116.
10. Palmer H, Delamatta M, Mebride C, et al. After discharge effects of a hospitalist service. J Gen Intern Med. 2001;16(suppl):S211.
11. Palmer H, Armistead N, Elnicki M, et al. The effect of a hospitalist service with nurse discharge planner on patient care in an academic teaching hospital. Am J Med. 2001;111:627-32.
12. Bernard A, Shapiro L, McMahon L. The influence of attending physician subspecialization on hospital length of stay. Med Care. 1990;28:170-4.
13. Hayward R, Manning G, McMahon L, Bernard A. Do attending or resident physician practice styles account for variations in hospital resource use? Med Care. 1994;32:788-94.
14. The Editors of the Annals of Internal Medicine. The who, what, where, whom, and how of hospitalist care. Ann Intern Med. 2002;137:930-1.