Hospital Care and Medical Utilization After Discharge
Authors: Dimitriy Levin, Jeffrey J. Glasheen
Journal: Annals of Internal Medicine (2011)

Letters15 November 2011Hospital Care and Medical Utilization After DischargeDimitriy Levin, MD and Jeffrey J. Glasheen, MDDimitriy Levin, MDFrom University of Colorado School of Medicine, Aurora, CO 80045. and Jeffrey J. Glasheen, MDFrom University of Colorado School of Medicine, Aurora, CO 80045.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-155-10-201111150-00021 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:We read the article by Kuo and Goodwin (1) about the potential cost shifting of hospitalist care with great interest. The authors' findings of increased health care utilization after hospitalist care, exemplified by nursing facility use, emergency department visits, and readmissions, can be summed up as complications of poor transitions of care.Although disappointing, these findings are not entirely surprising. High-quality transitions of care require a specific set of skills that are neither self-evident nor taught in most training programs. Despite the growing need (2), there were no hospitalist-focused training programs in the country at the beginning ...References1. Kuo YF, Goodwin JS. Association of hospitalist care with medical utilization after discharge: evidence of cost shift from a cohort study. Ann Intern Med. 2011;155:152-9. [PMID: 21810708] LinkGoogle Scholar2. Plauth WH, Pantilat SZ, Wachter RM, Fenton CL. Hospitalists' perceptions of their residency training needs: results of a national survey. Am J Med. 2001;111:247-54. [PMID: 11530039] CrossrefMedlineGoogle Scholar3. Glasheen JJ, Siegal EM, Epstein K, Kutner J, Prochazka AV. Fulfilling the promise of hospital medicine: tailoring internal medicine training to address hospitalists' needs. J Gen Intern Med. 2008;23:1110-5. [PMID: 18612754] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From University of Colorado School of Medicine, Aurora, CO 80045.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAssociation of Hospitalist Care With Medical Utilization After Discharge: Evidence of Cost Shift From a Cohort Study Yong-Fang Kuo and James S. Goodwin Hospital Care and Medical Utilization After Discharge Joshua Freeman Hospital Care and Medical Utilization After Discharge Yong-Fang Kuo and James S. Goodwin Hospital Care and Medical Utilization After Discharge David M. Mitchell Hospital Care and Medical Utilization After Discharge David O. Meltzer and Jeanette W. Chung Hospital Care and Medical Utilization After Discharge Jean-Sebastien Rachoin Hospital Care and Medical Utilization After Discharge Daniel J. Brotman , Romsai T. Boonyasai , and Amy Deutschendorf Hospital Care and Medical Utilization After Discharge Arun K. Raman Metrics 15 November 2011Volume 155, Issue 10Page: 721KeywordsHealth care facilitiesHealth care utilizationHospitalistsInpatientsOutpatientsPatientsQuality improvementResidencySafety ePublished: 15 November 2011 Issue Published: 15 November 2011 Copyright & PermissionsCopyright © 2011 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...