Comparison of Processes and Outcomes of Pneumonia Care Between Hospitalists and Community-Based Primary Care Physicians

Quality of Care for Decompensated Heart Failure: Comparable Performance between Academic Hospitalists and Non-hospitalists

“…20,21 However, our data cannot discern other more subtle measures of discharge coordination, such as whether the patient understood plans for post-discharge care; without adequate communication, notations of follow-up may not be sufficient to avoid readmission or other adverse outcomes. 27 In contrast to previous studies suggesting no effect of hospitalist systems on rates of specialty consultation, 26,28 we noted some evidence, though not conclusive, that MCH hospitalists consulted cardiologists more often and more frequently ordered invasive tests. Increases in referrals for congestive heart failure may be because hospitalists were less comfortable caring for heart failure patients or because they were more attentive to reasons why cardiologist care would be needed (e.g., evaluation for revascularization), or recognition that cardiologists may improve quality of care and potentially outcomes as well, 22,23 particularly in patients with active cardiac ischemia.…”

Patient satisfaction with hospital care provided by hospitalists and primary care physicians

“…1 Studies demonstrate that, compared to a system where primary care physicians provide inpatient care, the hospitalist model improves efficiency while maintaining at least equal patient outcomes. [2][3][4][5][6][7][8][9][10][11] However, scant data exist as to the effects of hospitalists on patient satisfaction. 12 Understanding how care models affect patient experience is vital in the current environment of healthcare reform and performance reporting, especially in light of the Centers for Medicare and Medicaid Services' (CMS) efforts to link the patient experience to reimbursement through ''value-based'' purchasing.…”

Neumonía en el anciano mayor de 80 años con ingreso hospitalario

“…En cuanto al perfil del servicio para tratar idóneamente estos pacientes, el estudio de Capelastegui refuerza el compromiso de conocimiento, actualización y experiencia para iniciar una rápida instauración del tratamiento, bien protocolizado, paso de medicación IV a oral, estancias hospitalarias óptimas y un buen seguimiento aplicables a todos los servicios (21). Diferentes modelos de especialistas y generalistas, más por interés de trabajo profesional, para tratar estos pacientes se han investigado en otros paises (22)(23)(24)(25) y no parece haber diferencias en los resultados, si bien se inclinan por el modelo de médico hospitalista con dedicación y experiencia, como ocurre en nuestros hospitales; siendo importante encontrar esos nichos de mejora y aplicarlos en el futuro.…”