ContextWe originally described the hospitalist model of inpatient care in 1996; since then,
the model has experienced tremendous growth. This growth has important clinical, financial,
educational, and policy implications. ObjectivesTo review data regarding the effect of …

Motivated by a search for improved quality and efficiency, increasing numbers of hospitals
and physicians are moving from systems in which all primary care providers manage their
own hospitalized patients or rotate this responsibility among themselves at infrequent …

Objective To determine the economic impact on the hospital of a hospitalist program and to
develop insights into the relative economic importance of variables such as reductions in
mean length of stay and cost, improvements in throughput (patients discharged per unit …

BACKGROUND: Handoffs are ubiquitous to Hospital Medicine and are considered a
vulnerable time for patient safety. PURPOSE: To develop recommendations for hospitalist
handoffs during shift change and service change. DATA SOURCES: PubMed (through …

Importance Hospitalist physicians face increasing pressure to maximize productivity, which
may undermine the efficiency and quality of care. Objective To determine the association
between hospitalist workload and the efficiency and quality of inpatient care. Design …

The nature of inpatient pediatrics is changing. Over the past decade, several factors have
converged to influence the kinds of children currently being hospitalized. Managed care
organizations have been under increasing pressure to control costs and reduce …

Background We studied patients of a hospitalistteaching service and patients receiving
routine private care (controlsubjects). We sought to evaluate whether inpatients cared for by
anacademic hospitalist service had lower lengths of stay and resourceutilization rates …

A hospitalist system was developed at Park Nicollet Clinic in 1993, was implemented in
1994, and remains in existence today. It was established without knowledge of any other
similar program in the United States. Internists and family practitioners were given the choice …

Background Hospitalists' increased role in perioperative medicine allows for examination of
their effects on surgical patients. This study examined the effects of a hospitalist service
created to medically manage elderly patients with hip fracture. Methods During a 2-year …

One key issue in the hospitalist movement is the need for hospitalists to establish rapport
and maintain relationships with their patients. Rapport is critical in obtaining a thorough
history, and then effectively negotiating the diagnosis and treatment plan with patient and …