Navigation Links
Benefits of hospitalist care confirmed in new study

In the largest study to date evaluating the outcome of in-hospital care by various physician types, findings show that care by hospitalists resulted in shorter stays and lower costs to patients.

Study results are reported in the Dec. 20, 2007 issue of the New England Journal of Medicine.

Findings show that compared to general internists, patients cared for by hospitalists had a length of stay shortened by 12 percent, or nearly half a day, and modestly lower costs. The two groups exhibited similar mortality and hospital readmission rates. When compared to family physicians, patients overseen by hospitalists also stayed in the hospital almost half a day less. Treatment cost, mortality and readmission rates were similar.

Researchers from the University of California, San Francisco and Tufts University led the study team.

The study is based on data from 45 hospitals across the country that participate in Perspective, a national database used for hospital quality and utilization benchmarking. Researchers gathered information including patient mortality, readmission, length-of-stay and cost of treatment. Using these criteria, they compared the outcome of 76, 926 patients under the care of hospitalists, general internists and family physicians across seven common inpatient conditions: heart failure, pneumonia, stroke, chronic obstructive coronary disease, chest pain, heart attack and urinary tract infection.

Hospitalist medicine is one of the fastest growing specialties in medicine, the researchers said, yet little evidence existed to support the benefit of hospitalist care before this study.

Even though the differences in the length of stay may seem small, when multiplied by the thousands of admissions that hospitalists see each year, the effects can be quite large, said Peter Lindenauer, MD, MSc, lead author of the study and associate professor of medicine at Baystate Medical Center and the Tufts University School of Medicine.

"A .4 day shorter length-of-stay per case multiplied by 5,000 cases annually will save 2,000 bed days and enable 500 more patients to be cared for each year without increasing the number of hospital beds. Moreover, there arent many interventions capable of achieving these kinds of efficiency gains," he added.

Researchers noted that the benefit to hospitals of more efficient patient traffic can be used to justify the cost of training programs.

"It appears clear that the benefits of hospitalist care really exist, so we can now turn our attention to moving the field of hospital medicine forward. Research into hospitalists is just one manifestation of research into better ways to structure programs," said Andrew Auerbach, MD, MPH, senior author on the study and associate professor of medicine at UCSF. The important thing from here is that hospital medicine capitalizes on opportunities to further innovate hospital services to maximize effectiveness, safety, and efficiency of healthcare.

In an accompanying editorial in NEJM, Laurence F. McMahon, Jr., MD, MPH, from the Department of Internal Medicine and Health Management and Policy at the University of Michigan, identifies hospitalists as an integral part of hospital care and the study as definitive evidence of the benefit they provide. He suggests that hospitalists as well as academic and policy leaders turn their focus to addressing the looming shortage of hospitalists and other generalists by addressing payment reform, and by increasing the role of hospitalists in academic medical centers, through the establishment of strong fellowship programs in hospital medicine.

Instead of comparison studies, new investigations should focus on quality improvement, comparative effectiveness, clinical informatics, the safety of patients and the translation of new medical advances to clinical practice, McMahon said.


Contact: Lauren Hammit
University of California - San Francisco

Related medicine news :

1. Practice-based intervention has sustained benefits for children and families
2. Manic phase of bipolar disorder benefits from breast cancer medication
3. Scientists highlight benefits of genetic research in sport, but warn of ethical concerns
4. Smaller breast reduction surgeries provide health benefits and should be reimbursed
5. Cholesterol byproduct blocks heart health benefits of estrogen
6. A Place for Mom, Nations Largest Senior Care Referral Service, Fills a Gap in Employee Benefits
7. New Herbal Water Creating Taste Sensation: Ayalas Herbal Water Has No Calories, No Preservatives and No Artificial Additives. Just All the Natural Benefits of Herbs!
8. Hazards of using crib bumper pads outweigh their benefits
9. Dominium Benefits Experiencing Dynamic Growth
10. The Integrated Benefits Institute Offers Largest Benchmarking Database in U.S. Spanning Disability and Workers Compensation Programs
11. Physiotherapy has short-term benefits for patients after knee surgery
Post Your Comments:
(Date:6/27/2016)... ... 27, 2016 , ... TherapySites, the leading website ... Tennessee Counseling Association. This new relationship allows TherapySites to continue to ... adding exclusive benefits and promotional offers. , "TCA is extremely excited about this ...
(Date:6/27/2016)... , ... June 27, 2016 , ... ... edge technology to revolutionize the emergency ambulance transport experience for the millions of ... of how Uber has disrupted the taxi industry through the use of technology. ...
(Date:6/26/2016)... ... , ... Quality metrics are proliferating in cancer care, and are derived from ... of the beholder, according to experts who offered insights and commentary in the current ... For the full issue, click here . , For the American Society of ...
(Date:6/26/2016)... ... June 26, 2016 , ... Pixel Film Studios Released ProSlice Levels, a ... can give their videos a whole new perspective by using the title layers ... Film Studios. , ProSlice Levels contains over 30 Different presets to choose from. ...
(Date:6/26/2016)... , ... June 26, 2016 , ... Brent Kasmer, a legally blind and certified personal ... personalized through a fitness app. The fitness app plans to fix the two major problems ... offer a one size fits all type program , They don’t eliminate all ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... BEVERLY HILLS, Calif. , June 23, 2016 ... faced the many challenges of the current process. Many of ... option because of the technical difficulties and high laboratory costs ... would have to offer it at such a high cost ... to afford it. Dr. Parsa Zadeh , ...
(Date:6/23/2016)... 2016 Roche (SIX: RO, ROG; OTCQX: RHHBY) ... Elecsys BRAHMS PCT (procalcitonin) assay as a dedicated testing ... With this clearance, Roche is the first IVD company ... for sepsis risk assessment and management. PCT ... PCT levels in blood can aid clinicians in assessing ...
(Date:6/23/2016)... -- Research and Markets has announced the addition ... to their offering. The ... commercial environment for MedImmune to enter. The US ageing population ... to drive considerable growth for effective anti-influenza medications. The introduction ... considerably, but development is still in its infancy. ...
Breaking Medicine Technology: