Determinants of hospitalist efficiency: A qualitative and quantitative study

Medical Care Research and Review

Volumn 66, Issue 6, 2009, Pages 682-702

  Dynan, Linda ^a   Stein, Rebecca ^b   David, Guy ^b   Kenny, Laura Cancilla ^c   Eckman, Mark ^c   Short, Amy Diane ^d  

^a NORTHERN KENTUCKY UNIVERSITY   (United States)

^b UNIVERSITY OF PENNSYLVANIA   (United States)

^c UNIVERSITY OF CINCINNATI   (United States)

^d UNIVERSITY OF CINCINNATI MEDICAL CENTER   (United States)

Author keywords

Hospital efficiency; Hospital LOS; Hospitalist

Indexed keywords

HEALTH CARE QUALITY; HOSPITAL ADMISSION; HOSPITAL COST; HUMAN; LENGTH OF STAY; MEDICAL SPECIALIST; MEDICAL STAFF; PRODUCTIVITY; REVIEW;

EFFICIENCY, ORGANIZATIONAL; FEMALE; HOSPITAL COSTS; HOSPITALISTS; HOSPITALS, TEACHING; HUMANS; INTERNSHIP AND RESIDENCY; LENGTH OF STAY; MALE; MEDICAL STAFF, HOSPITAL; MIDDLE AGED; MULTIVARIATE ANALYSIS; OHIO; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); REGRESSION ANALYSIS;

EID: 70449434631     PISSN: 10775587     EISSN: 15526801     Source Type: Journal    
DOI: 10.1177/1077558709338484     Document Type: Review

References (25)

1. Batsis, J.A., Phy, M.P., Melton, L.J., III, Schleck, C.D., Larson, D.R., Huddleston, P.M., et al. (2007). Effects of a hospitalist care model on mortality of elderly patients with hip fractures. Journal of Hospital Medicine, 2, 219-225.
2. Coffman, J.M., & Rundall, T. (2005). The impact of hospitalists on the cost and quality of inpatient care in the United States: A research synthesis. Medical Care Research and Review, 62, 379-406.
3. David, G., & Helmchen, L. (2007). The choice of employment arrangement in the market for hospitalist services. Southern Economic Journal, 73, 604-622.
4. David, G., Helmchen, L., & Henderson, R. (2009). Does advanced medical technology encourage hospitalist use and their direct employment by hospitals? Health Economics, 18, 237-247.
5. Elixhauser, A., Steiner, C., Harris, D.R., & Coffey, R.M. (1998). Comorbidity measures for use with administrative data. Medical Care, 36, 8-27.
6. Everett, G., Uddin, N., & Rudloff, B. (2007). Comparison of hospital costs and length of stay for community internists, hospitalists, and academicians. Journal of General Internal Medicine, 22, 662-667.
7. Hadi, A.S. (1992). Identifying multiple outliers in multivariate data. Journal of the Royal Statistical Society B (Methodological), 54, 761-771.
8. Hadi, A.S. (1994). A modification of a method for the detection of outliers in multivariate samples. Journal of the Royal Statistical Society B (Methodological), 56, 393-396.
9. Halasyamani, L.K., Valenstein, P., Friedlander, M., & Cohen, M. (2005). A comparison of two hospitalist models with traditional care in a community teaching hospital. American Journal of Medicine, 118, 536-543.
10. Hamilton, L.C. (1991). Regression with graphics: A second course in applied statistics. Belmont, CA: Duxbury Press.
11. Hauer, K.E., Wachter, R.M., McCulloch, C.E., Woo, G.E., & Auerbach, A.D. (2004). Effects of hospitalist attending physicians on trainee satisfaction with teaching and with internal medicine rotations. Archives of Internal Medicine, 164, 1866-1871.
12. Kaboli, P.J., Barnett, M.J., & Rosenthal, G.E. (2004). Associations with reduced length of stay and costs on an academic hospitalist service. American Journal of Managed Care, 10, 561-568.
13. Kralovec, P., Miller, J., Wellikson, L., & Huddleston, J. (2006). The status of hospital medicine groups in the United States. Journal of Hospital Medicine, 1, 75-80.
14. Lindenauer, P., Rothberg, M., Pekow, P., Kenwood, C., Benjamin, E., & Auerbach, A. (2007). Outcomes of care by hospitalists, general internists, and family physicians. New England Journal of Medicine, 357, 2589-2600.
15. Meltzer, D. (2001). Hospitalists and the doctor-patient relationship. Journal of Legal Studies, 30, 589-606.
16. Meltzer, D., Manning, W., Morrison, J., Shah, M., Jin, L., Guth, T., et al. (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, 866-874.
17. Myers, J.S., Bellini, L., Rohrbach, J., Shofer, F., & Hollander, J. (2006). Improving resource utilization in a teaching hospital: Development of a nonteaching service for chest pain admissions. Academic Medicine, 81, 432-435.
18. Pham, H.H., Devers, K.J., Kuo, S., & Berenson, R. (2005). Health-care market trends and the evolution of hospitalist use and roles. Journal of General Internal Medicine, 20, 101-107.
19. Pressel, D., Rappaport, D., & Watson, N. (2008). Nurses assessment of pediatric physicians: Are hospitalists different ? Journal of Healthcare Management, 53, 14-25.
20. Rifkin, W.D., Burger, A., Holmboe, E.S., & Sturdevant, B. (2007). Comparison of hospitalists and nonhospitalists regarding core measures of pneumonia care. American Journal Managed Care, 13, 129-132.
21. Roy, A., Heckman, M.G., & Roy, V. (2006). Associations between the hospitalist model of care and quality-of-care-related outcomes in patients undergoing hip fracture surgery. Mayo Clinical Proceedings, 81 (1). 28-31.
22. Scheurer, D.B., Miller, J.G., Blair, D.I., Pride, P.J., Walker, G.M., & Cawley, P.J. (2005). Hospitalists and improved cost savings in patients with bacterial pneumonia at a state level. Southern Medical Journal, 98, 607-610.
23. Society of Hospital Medicine (SHM). (2006). 2005-2006 SHM Survey: State of the Hospital Medicine Movement. Philadelphia, PA: Author.
24. Southern, W.N., Berger, M., Bellin, E., Hailpern, S., & Arnsten, J. (2007). Hospitalist care and length of stay in patients requiring complex discharge planning and close clinical monitoring. Archives of Internal Medicine, 167, 1869-1874.
25. Wachter, R.M. (1996). The emerging role of hospitalists in the American health care system. New England Journal of Medicine, 335, 514-517.