Title
Comparison of hospital costs and length of stay for community internists, hospitalists, and academicians
Abbreviated Journal Title
J. Gen. Intern. Med.
Keywords
hospitalist; medical care costs; academic medicine; MODEL; CARE; PHYSICIANS; SERVICE; Health Care Sciences & Services; Medicine, General & Internal
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.
Journal Title
Journal of General Internal Medicine
Volume
22
Issue/Number
5
Publication Date
1-1-2007
Document Type
Article
Language
English
First Page
662
Last Page
667
WOS Identifier
ISSN
0884-8734
Recommended Citation
"Comparison of hospital costs and length of stay for community internists, hospitalists, and academicians" (2007). Faculty Bibliography 2000s. 7109.
https://stars.library.ucf.edu/facultybib2000/7109
Comments
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