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The Hospitalist Model: Perspectives of the Patient, the Internist, and Internal Medicine

Article Abstract:

The hospitalist model of inpatient care may improve the treatment of patients while hospitalized, but proposals that mandate the transfer of care to hospitalists threaten the scope of practice and the professional satisfaction of internists. Hospitalists are physicians specializing in the care of hospitalized patients. Hospitalists may improve the treatment patients receive, compared to care coordinated by a patient's regular physician. The most effective use of hospitalists would promote the option of transferring care to an inpatient specialist, but not mandate such a hand-off. Internists specialize in the treatment of the sickest patients, and they should retain hospital privileges in a hospitalist system.

Author: Sox, Harold C.
Publisher: American College of Physicians
Publication Name: Annals of Internal Medicine
Subject: Health
ISSN: 0003-4819
Year: 1999

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The Park Nicollet Experience in Establishing a Hospitalist System

Article Abstract:

The Park Nicollet Clinic established a hospitalist model of inpatient care in 1994. Internists and general practice physicians were permitted to attend to their patients while they were hospitalized, or to turn their care over to hospitalists, physicians specializing in the care of hospital patients. Physicians reported greater satisfaction with the care of their patients, and the patients were generally accepting of the care they received from hospitalists.

Author: Freese, Richard B.
Publisher: American College of Physicians
Publication Name: Annals of Internal Medicine
Subject: Health
ISSN: 0003-4819
Year: 1999
Hospitals

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Implementation of a Hospitalist System in a Large Health Maintenance Organization: The Kaiser Permanente Experience

Article Abstract:

The Kaiser Permanente health maintenance organization in California developed a hospitalist model to improve the care of hospitalized patients. Hospitalists are specialist physicians who assume responsibility for the care of patients when they are in the hospital. The initial analysis from the first three years of operation indicate that a hospitalist system of inpatient care may be effective.

Author: Craig, Diane E., Hartka, Liz, Likosky, William H., Caplan, William M., Litsky, Paul, Smithey, Jannalee
Publisher: American College of Physicians
Publication Name: Annals of Internal Medicine
Subject: Health
ISSN: 0003-4819
Year: 1999
Kaiser Foundation Health Plan Inc. Northern California Region

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Subjects list: Care and treatment, United States, Practice, Physicians, Medical professions, Hospital patients, Internists, Services
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