David Neely, MD
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Neely D.; Improved Outcomes in a Voluntary Hospitalist Model. Ann Intern Med. 2003;139:76. doi: 10.7326/0003-4819-139-1-200307010-00018
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Published: Ann Intern Med. 2003;139(1):76.
TO THE EDITOR:
In the articles by Auerbach and colleagues (1) and Meltzer and associates (2), I am concerned that successful hospitalist experiences are inappropriately generalized to suggest that a hospitalist would improve any situation. Auerbach and colleagues demonstrate that in a failing hospital, months away from closing its doors, five energetic hospitalists can make a substantial difference. Meltzer and associates show the helpfulness of dedicated hospitalists introduced into a hospital that decades earlier had ceased to have primary care physicians care for their inpatients. In both models, one thing is clear: If doctors know that one of their explicit goals is to expedite patient discharge, it will happen. That this is good for the bottom line is obvious; less clear is whether it is good for patients or primary care physicians.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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