Impact of hospitalists on the efficiency of inpatient care and patient satisfaction: a systematic review and meta-analysis
Background: Over the past 20 years, hospitalists have assumed a greater portion of healthcare service for hospitalized patients. This was mainly due to reducing the length of stay (LOS) and hospital costs shown by many studies. In contrast, other studies suggested increased cost and resources utiliz...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Greater Baltimore Medical Center
2019-03-01
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| Series: | Journal of Community Hospital Internal Medicine Perspectives |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/20009666.2019.1591901 |
| _version_ | 1797964951166386176 |
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| author | Sohail Abdul Salim Ahmed Elmaraezy Amaleswari Pamarthy Charat Thongprayoon Wisit Cheungpasitporn Venkataraman Palabindala |
| author_facet | Sohail Abdul Salim Ahmed Elmaraezy Amaleswari Pamarthy Charat Thongprayoon Wisit Cheungpasitporn Venkataraman Palabindala |
| author_sort | Sohail Abdul Salim |
| collection | DOAJ |
| description | Background: Over the past 20 years, hospitalists have assumed a greater portion of healthcare service for hospitalized patients. This was mainly due to reducing the length of stay (LOS) and hospital costs shown by many studies. In contrast, other studies suggested increased cost and resources utilization associated with hospitalist-run care models. Aim: We aimed to provide class 1 evidence regarding the effect of hospitalist-run care models on the efficiency of care and patient satisfaction. Design: Meta-analysis. Methods: Four electronic medical databases were searched to retrieve all relevant studies. Two authors screened titles and abstracts of search results for eligibility according to predefined criteria. Initially eligible studies were screened for full text inclusion. Included studies were reviewed for data on LOS, hospital cost, readmission, mortality, and patient satisfaction. Available data were abstracted and analyzed using Comprehensive Meta-Analysis. Results: Sixty-one studies were included for analysis. The overall effect size favored hospitalist-run care models in terms of LOS (MD = −0.67 day, 95% CI [−0.78, −0.56], p < 0.001). There was no significant difference in terms of hospital cost (MD = $92.1, 95% CI [−910.4, 1094.6], p = 0.86) whereas patient satisfaction was similar or even better in hospitalist compared to non-hospitalist (NH) service. Conclusion: Our analysis showed that hospitalist care is associated with decreased LOS and increased patient satisfaction compared to NH. This indicates an increase in the efficiency of care that does not come at the expense of care quality. |
| first_indexed | 2024-04-11T01:52:40Z |
| format | Article |
| id | doaj.art-084c88ae98d1452baaf6827ebc81e910 |
| institution | Directory Open Access Journal |
| issn | 2000-9666 |
| language | English |
| last_indexed | 2024-04-11T01:52:40Z |
| publishDate | 2019-03-01 |
| publisher | Greater Baltimore Medical Center |
| record_format | Article |
| series | Journal of Community Hospital Internal Medicine Perspectives |
| spelling | doaj.art-084c88ae98d1452baaf6827ebc81e9102023-01-03T06:01:18ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662019-03-019212113410.1080/20009666.2019.15919011591901Impact of hospitalists on the efficiency of inpatient care and patient satisfaction: a systematic review and meta-analysisSohail Abdul Salim0Ahmed Elmaraezy1Amaleswari Pamarthy2Charat Thongprayoon3Wisit Cheungpasitporn4Venkataraman Palabindala5University of Mississippi Medical CenterHarvard Medical SchoolUniversity of Mississippi Medical CenterMayo ClinicUniversity of Mississippi Medical CenterUniversity of Mississippi Medical CenterBackground: Over the past 20 years, hospitalists have assumed a greater portion of healthcare service for hospitalized patients. This was mainly due to reducing the length of stay (LOS) and hospital costs shown by many studies. In contrast, other studies suggested increased cost and resources utilization associated with hospitalist-run care models. Aim: We aimed to provide class 1 evidence regarding the effect of hospitalist-run care models on the efficiency of care and patient satisfaction. Design: Meta-analysis. Methods: Four electronic medical databases were searched to retrieve all relevant studies. Two authors screened titles and abstracts of search results for eligibility according to predefined criteria. Initially eligible studies were screened for full text inclusion. Included studies were reviewed for data on LOS, hospital cost, readmission, mortality, and patient satisfaction. Available data were abstracted and analyzed using Comprehensive Meta-Analysis. Results: Sixty-one studies were included for analysis. The overall effect size favored hospitalist-run care models in terms of LOS (MD = −0.67 day, 95% CI [−0.78, −0.56], p < 0.001). There was no significant difference in terms of hospital cost (MD = $92.1, 95% CI [−910.4, 1094.6], p = 0.86) whereas patient satisfaction was similar or even better in hospitalist compared to non-hospitalist (NH) service. Conclusion: Our analysis showed that hospitalist care is associated with decreased LOS and increased patient satisfaction compared to NH. This indicates an increase in the efficiency of care that does not come at the expense of care quality.http://dx.doi.org/10.1080/20009666.2019.1591901Hospital medicinehospitalistsinpatient carequality of life |
| spellingShingle | Sohail Abdul Salim Ahmed Elmaraezy Amaleswari Pamarthy Charat Thongprayoon Wisit Cheungpasitporn Venkataraman Palabindala Impact of hospitalists on the efficiency of inpatient care and patient satisfaction: a systematic review and meta-analysis Journal of Community Hospital Internal Medicine Perspectives Hospital medicine hospitalists inpatient care quality of life |
| title | Impact of hospitalists on the efficiency of inpatient care and patient satisfaction: a systematic review and meta-analysis |
| title_full | Impact of hospitalists on the efficiency of inpatient care and patient satisfaction: a systematic review and meta-analysis |
| title_fullStr | Impact of hospitalists on the efficiency of inpatient care and patient satisfaction: a systematic review and meta-analysis |
| title_full_unstemmed | Impact of hospitalists on the efficiency of inpatient care and patient satisfaction: a systematic review and meta-analysis |
| title_short | Impact of hospitalists on the efficiency of inpatient care and patient satisfaction: a systematic review and meta-analysis |
| title_sort | impact of hospitalists on the efficiency of inpatient care and patient satisfaction a systematic review and meta analysis |
| topic | Hospital medicine hospitalists inpatient care quality of life |
| url | http://dx.doi.org/10.1080/20009666.2019.1591901 |
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