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Journal of General Internal Medicine
Published in: Journal of General Internal Medicine 5/2010

01-05-2010 | Editorial

Exploring the Potential Causes of the Emergence of Hospitalists: Chicken vs. Egg

Authors: Luci Leykum, MD, MBA, MSc, Eric Mortensen, MD, MSc, FACP ALMD/UTHSCSA

Published in: Journal of General Internal Medicine | Issue 5/2010

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Excerpt

With the introduction of the term “hospitalist” by Wachter and Goldman1 in 1996 hospital medicine has expanded exponentially2,3. Since that time the odds that an inpatient would receive care from a hospitalist, rather than their primary care physician, has grown by almost 30% per year2. In 2006 a study of Medicare recipients revealed that almost 20% of all general internists identified themselves as hospitalists2. The literature has described the trajectory of this growth1‐3 and its impact on the quality of care received3‐5 in considerable detail. However, data related to the forces behind this growth has been much less plentiful6,7. …
Literature
1.
Wachter RM, Goldman L. The emerging role of “hospitalists” in the American health care system. N Engl J Med. 1996;335(7):514–7.CrossRefPubMed
2.
Kuo YF, et al. Growth in the care of older patients by hospitalists in the United States. N Engl J Med. 2009;360(11):1102–12.CrossRefPubMed
3.
Lindenauer PK, et al. Outcomes of care by hospitalists, general internists, and family physicians. N Engl J Med. 2007;357(25):2589–600.CrossRefPubMed
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5.
Coffman J, Rundall TG. The impact of hospitalists on the cost and quality of inpatient care in the United States: a research synthesis. Med Care Res Rev. 2005;62(4):379–406.CrossRefPubMed
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Pham HH, Devers KJ, Kuo S, Berenson R. Health care market trends and the evolution of hospitalist use and roles. J Gen Intern Med. 2005;20:101–7.CrossRefPubMed
7.
Kralovec PD, Miller LA, Wellikson L, Huddleston JM. The status of hospital medicine groups in the United States. J Hosp Med. 2006;1:75–80.CrossRefPubMed
8.
Hamel MB, Drazen JM, Epstein AM. The growth of hospitalists and the changing face of primary care. N Engl J Med. 2009;360(11):1141–3.CrossRefPubMed
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Meltzer DO, Chung JW. U.S. Trends in hospitalization and generalist physician workforce and the emergence of hospitalists. J Gen Intern Med. 2010.
10.
McMahon LF. The hospitalist movement–time to move on. NEJM. 2007;537(25):2627–9.CrossRef
Metadata
Title
Exploring the Potential Causes of the Emergence of Hospitalists: Chicken vs. Egg
Authors
Luci Leykum, MD, MBA, MSc
Eric Mortensen, MD, MSc, FACP ALMD/UTHSCSA
Publication date
01-05-2010
Publisher
Springer-Verlag
Published in
Journal of General Internal Medicine / Issue 5/2010
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-010-1320-2

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