Update in Hospital Medicine
Authors: Karen E. Hauer
Journal: Annals of Internal Medicine (2000)

Updates from the Annual Session7 November 2000Update in Hospital MedicineKaren E. Hauer, MD and Neil Winawer, MDKaren E. Hauer, MDFrom University of California, San Francisco, San Francisco, California; and Emory University, Atlanta, Georgia.Search for more papers by this author and Neil Winawer, MDFrom University of California, San Francisco, San Francisco, California; and Emory University, Atlanta, Georgia.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-133-9-200011070-00013 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Structural changes in the health care system have prompted the evolution of hospital medicine as a distinct area of practice that has been defined to include physicians who spend at least 25% of their time practicing inpatient medicine (1). Studies from 1998 showed that care provided by hospital medicine specialists reduced both length of stay and total cost of care by approximately 15% while maintaining quality of care and patient satisfaction (2, 3). A recent workforce analysis projected that the number of practicing hospitalists in the United States could grow from the current 3000–4000 to 19 000 if this model ...References1. Wachter RM, Goldman L. The emerging role of “hospitalists” in the American health care system. N Engl J Med. 1996;335:514-7. CrossrefMedlineGoogle Scholar2. Wachter RM, Katz P, Showstack J, Bindman AB, Goldman L. Reorganizing an academic medical service: impact on cost, quality, patient satisfaction, and education. JAMA. 1998;279:1560-5. CrossrefMedlineGoogle Scholar3. Diamond HS, Goldberg E, Janosky JE. The effect of full-time faculty hospitalists on the efficiency of care at a community teaching hospital. Ann Intern Med. 1998;129:197-203. LinkGoogle Scholar4. Lurie JD, Miller DP, Lindenauer PK, Wachter RM, Sox HC. The potential size of the hospitalist workforce in the United States. Am J Med. 1999;106:441-5. CrossrefMedlineGoogle Scholar5. Jensen AG, Wachmann CH, Poulsen KB, Espersen F, Scheibel J, Skinhoj P, et al . Risk factors for hospital-acquired Staphylococcus aureus bacteremia. Arch Intern Med. 1999;159:1437-44. CrossrefMedlineGoogle Scholar6. Navasa M, Rodes J. Management of ascites in the patient with portal hypertension with emphasis on spontaneous bacterial peritonitis. Semin Gastrointest Dis. 1997;8:200-9. MedlineGoogle Scholar7. Runyon BA. Care of patients with ascites. N Engl J Med. 1994;330:337-42. CrossrefMedlineGoogle Scholar8. Clagett GP, Anderson FA, Levine MN, Salzman EW, Wheeler HB. Prevention of venous thromboembolism. Chest. 1992;102:391S-407S. CrossrefMedlineGoogle Scholar9. Donabedian A. The quality of care. How can it be assessed? JAMA. 1988;260:1743-8. CrossrefMedlineGoogle Scholar10. Thiemann DR, Coresh J, Oetgen WJ, Powe NR. The association between hospital volume and survival after acute myocardial infarction in elderly patients. N Engl J Med. 1999;340:1640-8. CrossrefMedlineGoogle Scholar11. Pronovost PJ, Jenckes MW, Dorman T, et al . Organizational characteristics of intensive care units related to outcomes of abdominal aortic surgery. JAMA. 1999;281:1310-17. CrossrefMedlineGoogle Scholar12. Ely EW, Evans GW, Haponik EF. Mechanical ventilation in a cohort of elderly patients admitted to an intensive care unit. Ann Intern Med. 1999;131:96-104. LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From University of California, San Francisco, San Francisco, California; and Emory University, Atlanta, Georgia.Corresponding Author: Karen E. Hauer, MD, University of California, San Francisco, Box 0320, 400 Parnassus Avenue, San Francisco, CA 94143; e-mail, [email protected]ucsf.edu.Current Author Addresses: Dr. Hauer: University of California, San Francisco, Box 0320, 400 Parnassus Avenue, San Francisco, CA 94143.Dr. Winawer: 334 Virginia Road, Atlanta, GA 30338. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 7 November 2000Volume 133, Issue 9Page: 707-713KeywordsAcute myocardial infarctionAlbuminsAntibioticsBacteremiaDeath ratesDeep vein thrombosisMortalityPatientsSpontaneous bacterial peritonitisSteroids ePublished: 7 November 2000 Issue Published: 7 November 2000 CopyrightCopyright © 2000 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...