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01-09-2019 | Capsule Commentary

Capsule Commentary on van Walraven’s “The influence of inpatient physician continuity on hospital discharge”

Author: David G. Paje, MD, MPH

Published in: Journal of General Internal Medicine | Issue 9/2019

Excerpt

As hospitals strive to reduce patients’ length of stay, it is necessary to identify factors that improve clinical efficiency and facilitate discharge. In this retrospective study, Carl van Walraven¹ used patient-level data from admissions to the medical service of a large teaching hospital to determine if continuity of inpatient attending physician is associated with the probability that a patient will be discharged from the hospital on a given day. After adjusting for various confounders, he found that the likelihood of discharge increased as patients were followed by the same attending physician for more consecutive days. …

van Walraven C. The influence of inpatient physician continuity on hospital discharge. J Gen Intern Med. 2019. https://doi.org/10.1007/s11606-019-05031-5.CrossRef

Michtalik HJ, Pronovost PJ, Marsteller JA, Spetz J, Brotman DJ. Developing a model for attending physician workload and outcomes. JAMA Intern Med. 2013;173(11):1026–8.CrossRef

Turner J, Hansen L, Hinami K, Christensen N, Peng J, Lee J, et al. The impact of hospitalist discontinuity on hospital cost, readmissions, and patient satisfaction. J Gen Intern Med. 2014;29(7):1004–8.CrossRef

Valenstein P, Leiken A, Lehmann C. Test-ordering by multiple physicians increases unnecessary laboratory examinations. Arch Pathol Lab Med. 1988;112(3):238–41.PubMed

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

Title: Capsule Commentary on van Walraven’s “The influence of inpatient physician continuity on hospital discharge”
Author: David G. Paje, MD, MPH
Publication date: 01-09-2019
Publisher: Springer US
Published in: Journal of General Internal Medicine / Issue 9/2019
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-019-05145-w

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