Title

Comparison Of Hospital Costs And Length Of Stay For Community Internists, Hospitalists, And Academicians

Keywords

Academic medicine; Hospitalist; Medical care costs

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. © 2007 Society of General Internal Medicine.

Publication Date

5-1-2007

Publication Title

Journal of General Internal Medicine

Volume

22

Issue

5

Number of Pages

662-667

Document Type

Article

Personal Identifier

scopus

DOI Link

https://doi.org/10.1007/s11606-007-0148-x

Socpus ID

34250366633 (Scopus)

Source API URL

https://api.elsevier.com/content/abstract/scopus_id/34250366633

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