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Comparative Study
. 2007 May;22(5):662-7.
doi: 10.1007/s11606-007-0148-x. Epub 2007 Mar 6.

Comparison of hospital costs and length of stay for community internists, hospitalists, and academicians

George Everett  1 , Nizam Uddin, Beth Rudloff
Affiliations
Comparative Study

Comparison of hospital costs and length of stay for community internists, hospitalists, and academicians

George Everett et al. J Gen Intern Med. 2007 May.

Abstract

Background: The model of inpatient medical management has evolved toward Hospitalists because of greater cost efficiency compared to traditional practice. The optimal model of inpatient care is not known.

Objective: To compare three models of inpatient Internal Medicine (traditional private practice Internists, private Hospitalist Internists, and Academic Internists with resident teams) for cost efficiency and quality at a community teaching hospital.

Design: Single-institution retrospective cohort study.

Measurements and main results: Measurements were hospital cost, length of stay (LOS), mortality, and 30-day readmission rate adjusted for severity, demographics, and case mix. Academic Internist teams had 30% lower cost and 40% lower LOS compared to traditional private Internists and 24% lower cost and 30% lower LOS compared to private Hospitalists. Hospital mortality was equivalent for all groups. Academic teams had 2.3-2.6% more 30-day readmissions than the other groups.

Conclusions: Academic teams compare favorably to private Hospitalists and traditional Internists for hospital cost efficiency and quality.

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References

    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1016/S0025-7125(02)00015-9', 'is_inner': False, 'url': 'https://doi.org/10.1016/s0025-7125(02)00015-9'}, {'type': 'PubMed', 'value': '12365336', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/12365336/'}]}
    2. Wachter RM. The evolution of the hospitalist model in the United States. Med Clin North Am. 2002;86:687–706. - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'PubMed', 'value': '10068403', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/10068403/'}]}
    2. Lindenaur PK, Pantilat SZ, Katz P, Wachter RM. Hospitalists and the practice of inpatient medicine: results if a survey of the National Association of Inpatient Physicians. Ann Intern Med 1999;130(Suppl 4):343–49. - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'PubMed', 'value': '15515995', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/15515995/'}]}
    2. Everett GD, Anton MP, Jackson BK, Swigert C, Uddin N. Comparison of hospital costs and length of stay associated with general internists and hospitalist physicians at a community hospital. Am J Manag Care 2004;10:626–30. - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'PubMed', 'value': '9696727', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/9696727/'}]}
    2. Diamond HS, Goldberg E, Janosky JE. The effect of full-time faculty hospitalists on the efficiency of care at a community teaching hospital. Ann Intern Med 1998;129:197–203. - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1016/j.amjmed.2005.01.027', 'is_inner': False, 'url': 'https://doi.org/10.1016/j.amjmed.2005.01.027'}, {'type': 'PubMed', 'value': '15866257', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/15866257/'}]}
    2. Halasyamani LK, Valenstein PN, Friedlander MP, Cowen ME. A comparison of two hospitalist models with traditional care in a community teaching hospital. Am J Med 2005;118:536–43. - PubMed

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