Unbound MEDLINE

The evolution of the hospitalist model in the United States. The Medical clinics of North America. [Med Clin North Am] Journal article

 
TitleThe evolution of the hospitalist model in the United States.
Author(s)Wachter RM 
InstitutionDepartment of Medicine, University of California Medical Center, Box 0120, Room M-994, 505 Parnassus Avenue, San Francisco, CA 94143-0120, USA. bobw@medicine.ucsf.edu
SourceMed Clin North Am 2002 Jul; 86(4):687-706.
MeSHDiffusion of Innovation
Efficiency, Organizational
Hospitalists
Humans
Institutional Practice
Models, Organizational
Organizational Innovation
Outcome and Process Assessment (Health Care)
Patient Care Team
Quality Assurance, Health Care
Total Quality Management
United States
AbstractEmerging data support the hypothesis that the use of hospital-based physicians can lead to improved efficiency without compromising patient [table: see text] outcomes or satisfaction. Nevertheless, for the foreseeable future, hospital care in the United States will likely remain a highly pluralistic system in which the organization of care is determined by efforts to improve the value of care in the context of local culture, patient populations, and patient and provider preferences. The method of hospital care chosen by each institution and group of physicians should be the one that promotes the best clinical outcomes and highest patient satisfaction at the lowest costs. With these goals in mind, it is likely that hospitalists will play an increasingly important and visible role in many institutions across the country.
Languageeng
Pub Type(s)Journal Article
Review
PubMed ID12365336
  
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