Herbert S. Diamond, MD; Elliot Goldberg, MD
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Diamond HS, Goldberg E. Hospitalists: Cost and Quality of Care. Ann Intern Med. 1999;130:450-451. doi: 10.7326/0003-4819-130-5-199903020-00020
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Published: Ann Intern Med. 1999;130(5):450-451.
The cost allocation system used by the hospital incorporates the cost of the residents. We found that cost of care was similar on teaching and nonteaching services in our institution (1). Hospitalists have been involved in teaching residents both in the present hospital managed program and in the original program. The hospitalist program was not disbanded. Management was transferred from the Department of Medicine teaching faculty to hospital administration to expand the program and to separate administration of the hospitalist program from administration of the medical residency. The faculty member who had the largest hospitalist role now has a senior leadership position in the hospital program. Support of the hospitalists has always been shared between the covered practices and the hospital. Support from each source has not changed. The original physician group participating in the hospitalist program is now in its fourth year of participation. Length of stay has continued to decrease (4.9 days).
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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