Karen E. Hauer, MD; Neil Winawer, MD
Hauer K., Winawer N.; Update in Hospital Medicine. Ann Intern Med. 2000;133:707-713. doi: 10.7326/0003-4819-133-9-200011070-00013
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Published: Ann Intern Med. 2000;133(9):707-713.
Structural changes in the health care system have prompted the evolution of hospital medicine as a distinct area of practice that has been defined to include physicians who spend at least 25% of their time practicing inpatient medicine (1). Studies from 1998 showed that care provided by hospital medicine specialists reduced both length of stay and total cost of care by approximately 15% while maintaining quality of care and patient satisfaction (2, 3). A recent workforce analysis projected that the number of practicing hospitalists in the United States could grow from the current 3000–4000 to 19 000 if this model of inpatient care is fully implemented at most hospitals (4).
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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