Michael J. Dawson, MD
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Dawson MJ. The Park Nicollet Experience. Ann Intern Med. 1999;131:792. doi: 10.7326/0003-4819-131-10-199911160-00022
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Published: Ann Intern Med. 1999;131(10):792.
TO THE EDITOR:
Having just read the supplement on hospitalists, I am still confused about the place of the hospitalist. Despite little more than anecdotal data on the effectiveness of hospitalist programs, there is an ongoing trend for support of these programs. The impetus seems to be a desire to control costs, although some have mentioned that general internists can no longer manage medical inpatients. This is sad and unfortunate.
The discontinuity of care and disruption of the physician-patient relationship are the most troubling part of this equation. Surveys reporting patient satisfaction with the hospitalist system do not indicate whether the patient has an ongoing relationship with a primary care physician or has been assigned through their health plan and has never seen the physician.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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