Sunday, August 14, 2011
The hospitalist is that doctor who takes care of patients while in the hospital. I am a family doc. I did inpatient as well as outpatient medicine for over ten years before using the hospitalist. When I was a newbie I would never have thought about using their services. As my hair gets grayer I love them more and more. Do they save money? Maybe. The evidence that it saves patients any money is scant as described in this NY Times Blog. It does save the hospital money, though. Why else would they have them? I agree, however, that the continuity of care is fragmented when primary care docs no longer admit and takes care of their own patients in the hospital. I wish that this could be fixed. The issue that is ignored is how much of a toll (admitting patients and doing inpatient medicine) takes on us. How interesting that this article tagged above NEVER once mentions this. I am all for seeing it from the patient perspective but what about from the doctor perspective? Should we not have a life? Rolling out of bed in the middle of the night, rounding before and after office hours, and getting calls all day from the hospital nurses just sucks. The NYT never mentions the human costs to us! Shouldn't that even be considered?
Posted by Authentic Medicine Blog at 5:34 AM