Shelfari: Book reviews on your book blog

A Readmission to the Hospital for My Aging Father

The Hospitalist System Redux

A recent article in The New York Times praising the advent of hospital doctors known as “hospitalists” has stirred a small controversy among readers of The Times New Old Age blog.   Many, but not all, of the medical people who weighed in point out the many potential advantages of the system.  One advantage is that there is an actual doctor in the hospital available to respond to patient emergencies.  (This is apparently not true in all hospitals, however, as one commenter from Venice, FL. attests.  Check to see if your hospitalist is an MD or a Physician Assistant.)

There are other theoretical advantages outlined in The Times report.  One of the important ones is the idea that hospitalist doctors reduce the incidence of expensive hospital readmissions.  The Times tells us that avoidable readmissions …

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A Desperate Caregiving Moment

The New York Times recently published an article extolling the virtues of a new kind of medical specialty, the hospitalist.  This “new breed” of doctors works exclusively in hospitals with hospitalized patients.  The hospitalists with whom I have had contact are members of a group practice that contracts with the hospital to provide medical coverage throughout the facility.

One supposed advantage of this system is ease of oversight of all the patient population freeing up primary care physicians to focus on their outpatient practice so that they are not inefficiently dividing their time between hospital and clinic.  In theory, hospital doctors are more available to patients than their primary care doctor might be.  Studies show that under this system hospital stays are reduced by 17 to 30 percent and medical costs by 13 to 20 …

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