Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2014 Jan;14(1):71-7.
doi: 10.1111/ggi.12056. Epub 2013 Mar 26.

Effects of hospitalist-directed interdisciplinary medicine floor service on hospital outcomes for seniors with acute medical illness

Ji Won Yoo  1 , Haesun Seol, Sun Jung Kim, Janet Miyoung Yang, Woo Sang Ryu, Too Dae Min, Jong Bum Choi, Minkyung Kwon, Sulgi Kim
Affiliations
Free article

Effects of hospitalist-directed interdisciplinary medicine floor service on hospital outcomes for seniors with acute medical illness

Ji Won Yoo et al. Geriatr Gerontol Int. 2014 Jan.
Free article

Abstract

Aim: To examine whether a hospitalist-directed interdisciplinary (ITD) team in an internal medicine residency program enhances the hospital and clinical outcomes for seniors with acute medical illness.

Methods: Seniors admitted to a USA teaching hospital medical floor-teaching services were allocated to the ITD (n = 379) and usual care teams (n = 383). Compared with the usual care team, the ITD team physicians carried out daily "geriatric" assessment and management, and led ITD team meetings.

Results: The mean probability of functional decline on hospital discharge in the ITD team (25%; 95% CI 19-30%) was significantly lower than that in the usual care team (36%; 95% CI 30-43%; OR 0.35; 95% CI 0.10-0.92; P < 0.001). The mean probability of delirium in the ITD team (26%; 95% CI 20-32%) was significantly lower than that in the usual care team (34%; 95% CI 28-41%; OR 0.48; 95% CI 0.16-0.97; P = 0.03). The mean probability of transition to an institution in the ITD team (18%; 95% CI 13-23%) was significantly lower than that in the usual care team (26%; 95% CI 19-32%; OR 0.41; 95% CI 0.14-0.95; P = 0.01).

Conclusions: Hospitalist-directed ITD team care is associated with reductions of functional decline, delirium and transition to an institution for seniors with acute medical illness.

Keywords: delirium; hospitalist; inter-professional relations; interdisciplinary health teams; quality of health care.

PubMed Disclaimer