No: Discontinuity can improve patient care
Western Journal of MedicinePublished 1 July 2001Open access
Robert M. Wachter
Citations16
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TL;DR
The hospitalist movement, in which a separate physician assumes the role of providing general hospital care in place of primary care physicians, and the importance of advantageous and purposeful discontinuities is argued, shows that within-hospital continuity improves when hospitalists are involved.
Keywords
MedicineEconomics, Econometrics and Finance
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The explosive growth of managed care has led to an increased role for general internists and other primary care physicians in the American health care system, and this change is welcome in many respects, since generalists have perennially been undervalued by health care institutions, payers, and even patients.
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The experience of a community teaching hospital during the initial year of a hospitalist program is reported, which can be determined only by studies that measure quality of care, patient satisfaction, and cost and efficiency of care in various settings.
The American Journal of MedicineDebunking myths about the hospitalist movement
14 Citations2000Robert M. Wachter
In their study of a voluntary hospitalist system at a large rural nonteaching hospital in Mississippi, Davis and colleagues found that hospitalists markedly decrease inpatient costs and lengths of stay with no compromise in quality or patient satisfaction, confirming that hospitalist programs are not the invention of managed care organizations.
