What are the effects of the hospitalist model on patient-physician relationships?
Hospitalist Leadership Connection, March 30, 2010
It’s not clear whether hospital medicine is detrimental to the patient-physician relationship, according to a new article, “The Ethics of the Hospitalist Model,” published in the March issue of the Journal of Hospital Medicine.
According to the article by authors at the Ben-Gurion University of Negev, Be’er Sheva, Israel, studies have proven that the hospitalist model has beneficial effects on the quality of care and cost containment. However, not enough research has been done on how the hospitalist model affects patients’ autonomy (i.e., choice in selecting physicians) or potential conflicts of interest.
“This is of particular concern in the United States as Medicare Part A (payment for inpatient care) is scheduled to go bankrupt in 2019, leading to potentially reasonable fears of hospital-motivated cost containment,” states the article. “…hospitalists will need to be forthright and honest about incentives structures and link them to quality of care and patient satisfaction, not to efficiency and cost savings.”
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