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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

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