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01-07-2014 | Capsule Commentary

Capsule Commentary on Turner et al., The Impact of Hospitalist Discontinuity on Hospital Cost, Readmissions, and Patient Satisfaction

Author: Kathlyn E. Fletcher, MD MA

Published in: Journal of General Internal Medicine | Issue 7/2014

Excerpt

In this study, the authors evaluated the effect of hospitalist discontinuity on cost, readmission and patient satisfaction.1 Discontinuity was measured by modifying two tools that are typically applied in the outpatient rather than inpatient setting: the Usual Provider of Care Index (UPC)2 and the Number of Physicians Index (NPI).3 The authors found that discontinuity was associated with increased costs, had no impact on patient satisfaction and trended toward fewer readmissions. …

Turner J, Hansen L, Hinami K, Christensen N, Peng J, Lee J, Williams MV, O’Leary KJ. The impact of hospitalist discontinuity on hospital cost, readmissions, and patient satisfaction. J Gen Intern Med. doi:10.1007/s11606-013-2754-0.

Saultz JW. Defining and measuring interpersonal continuity of care. Ann Family Med. 2003;1(3):134–43.CrossRef

Steinwachs DM. Measuring provider continuity in ambulatory care: an assessment of alternative approaches. Med Care. 1979;17(6):551–65.PubMedCrossRef

Kaboli PJ, Go JT, Hockenberry J, et al. Associations Between Reduced Hospital Length of Stay and 30-Day Readmission Rate and Mortality: 14-Year Experience in 129 Veterans Affairs Hospitals. Ann Intern Med. 2012;157(12):837–45.PubMedCrossRef

Wachter RM. Does continuity of care matter? No: discontinuity can improve patient care. West J Med. 2001;175(1):5.PubMedCentralPubMedCrossRef

Title: Capsule Commentary on Turner et al., The Impact of Hospitalist Discontinuity on Hospital Cost, Readmissions, and Patient Satisfaction
Author: Kathlyn E. Fletcher, MD MA
Publication date: 01-07-2014
Publisher: Springer US
Published in: Journal of General Internal Medicine / Issue 7/2014
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-014-2836-7

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