Medical Staff

Hospitalist service and house staff service produce equivalent outcomes

Hospitalist Leadership Connection, October 28, 2008

In academic centers, two types of services offer a similar quality and efficiency of patient care: (1) traditional house staff services and (2) services with physician assistants, supervised by hospitalists, according to a new study by Brigham & Women’s Hospital in Boston, called “Implementation of a physician assistant/hospitalist service in an academic medical center: Impact on efficiency and patient outcomes,” published in the October issue of the Journal of Hospital Medicine.

In a survey of nearly 5,200 patients admitted to a general medical service between July 2005 and June 2006, researchers found that patient outcome measures were not significantly different between these two types of services. Length of stay, inpatient mortality, ICU transfers, readmissions, and patient satisfaction were effectively the same.

“For general medicine inpatients admitted to an academic medical center, a service staffed by hospitalists and physician assistants can provide a safe alternative to house staff services, with comparable efficiency,” researchers of the study concluded in the abstract.

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