Andrew D. Auerbach, MD, MPH; Robert M. Wachter, MD; Patricia Katz, PhD; Jonathan Showstack, PhD, MPH; Robert B. Baron, MD, MS; Lee Goldman, MD, MPH
Acknowledgments: The authors thank Kenneth Woeber, MD, for assistance with planning this project; Linda Ono, BA, for work in assembling the database used in this study; Amy Markowitz, JD, for editorial assistance; and Kathleen Kerr, BA, for her efforts throughout the course of the study.
Potential Financial Conflicts of Interest:Grants received: L. Goldman.
Requests for Single Reprints: Andrew D. Auerbach, MD, MPH, Department of Medicine, Box 0120, 505 Parnassus Avenue, University of California, San Francisco, San Francisco, CA 94143; e-mail, email@example.com.
Current Author Addresses: Drs. Auerbach, Wachter, Baron, and Goldman: Department of Medicine, Box 0120, 505 Parnassus Avenue, University of California, San Francisco, San Francisco, CA 94143.
Drs. Katz and Showstack: University of California, San Francisco, Institute for Health Policy Studies, Box 0936, LHts 265, San Francisco, CA 94143-0936.
Author Contributions: Conception and design: A.D. Auerbach, R.M. Wachter, J. Showstack, R.B. Baron, L. Goldman.
Analysis and interpretation of the data: A.D. Auerbach, P. Katz, J. Show-stack, R.B. Baron, L. Goldman.
Drafting of the article: A.D. Auerbach, J. Showstack, L. Goldman.
Critical revision of the article for important intellectual content: A.D. Auerbach, R.M. Wachter, P. Katz, J. Showstack, R.B. Baron, L. Goldman.
Final approval of the article: A.D. Auerbach, R.M. Wachter, P. Katz, J. Showstack, R.B. Baron, L. Goldman.
Provision of study materials or patients: A.D. Auerbach, R.B. Baron.
Statistical expertise: A.D. Auerbach, P. Katz, J. Showstack.
Administrative, technical, or logistic support: A.D. Auerbach, R.M. Wachter, R.B. Baron.
Collection and assembly of data: A.D. Auerbach, R.B. Baron.
Auerbach AD, Wachter RM, Katz P, Showstack J, Baron RB, Goldman L. Implementation of a Voluntary Hospitalist Service at a Community Teaching Hospital: Improved Clinical Efficiency and Patient Outcomes. Ann Intern Med. 2002;137:859-865. doi: 10.7326/0003-4819-137-11-200212030-00006
Download citation file:
Published: Ann Intern Med. 2002;137(11):859-865.
The organization of inpatient services has been transformed with the development of the hospitalist (1). Traditionally, primary care physicians have cared for their own inpatients. In the hospitalist model, a hospitalist becomes the patient's attending physician during hospitalization and the outpatient physician resumes supervision of the patient after discharge (2).
Several studies have demonstrated improved clinical efficiency in the hospitalist model, but these studies have focused largely on academic centers or health maintenance organizations, or have not used concurrent controls or reported longer periods of follow-up (3-7). One published study examining a hospitalist system at a community-based teaching hospital suggested improvement in clinical efficiency and a reduction in readmissions (8). However, analytic limitations open these findings to many interpretations. To examine the effects of implementation of a hospitalist service on resource utilization and patient outcomes over time, we studied 5308 consecutive patients admitted to an urban community teaching hospital in San Francisco, California.
to gain full access to the content and tools.
Learn more about subscription options.
Register Now for a free account.
Results provided by:
Copyright © 2016 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only