Abstract
To compare the length of stay and charges for patients with pneumonia admitted in 1995 to the teaching and nonteaching services of a Northeastern teaching hospital, we reviewed the charts of 237 patients. Patients cared for by hospital-based generalists working with housestaff (teaching service) were discharged more quickly and with lower or equivalent charges than patients cared for by community-based attending physicians working either with housestaff (private teaching service) or alone (nonteaching service). Academic teaching services staffed by general medicine faculty may provide efficient inpatient pneumonia care.
References
Wachter RM, Goldman L. The emerging role of “hospitalists” in the American health care system. N Engl J Med. 1996;335:514–7.
Iglehart JK. The American health care system: teaching hospitals. N Engl J Med. 1993;329:1052–6.
Williams SV, Eisenberg JM. A controlled trial to decrease the unnecessary use of diagnostic tests. J Gen Intern Med. 1986;1:8–13.
Fine MJ, Hanusa BH, Lave JR, et al. Comparison of a disease-specific and a generic severity illness measure for patients with community-acquired pneumonia. J Gen Intern Med. 1995;10:359–68.
Fine MJ, Auble ER, Yealy DM, et al. A prediction rule to identify low-risk patients with community-acquired pneumonia. N Engl J Med. 1997;336:243–50.
Burns LR, Wholey DR. The effects of patient, hospital, and physician characteristics on length of stay and mortality. Med Care. 1991;29:251–71.
Fine MJ, Singer DE, Phelps AL, Hanusa BH, Kapoor WN. Differences in length of hospital stay in patients with community-acquired pneumonia: a prospective four-hospital study. Med Care. 1993;31:371–81.
Frick AP, Martin SG, Shwartz M. Case-mix and cost differences between teaching and non-teaching hospitals. Med Care. 1985;23:283–95.
Iezzoni LI, Shwartz M, Moskowitz MA, Ash AS, Sawitz E, Burnside S. Illness severity and costs of admissions at teaching and non-teaching hospitals. JAMA. 1990;264:1426–31.
Cooper GS, Chak A, Harper DL, Pine M, Rosenthal GE. Care of patients with upper gastrointestinal hemorrhage in academic medical centers: a community-based comparison. Gastroenterology. 1996;111:385–90.
Kassirer JK. Academic medical centers under siege. N Engl J Med. 1994;331:1370–1.
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Stein, M.D., Hanson, S., Tammaro, D. et al. Economic effects of community versus hospital-based faculty pneumonia care. J GEN INTERN MED 13, 774–777 (1998). https://doi.org/10.1046/j.1525-1497.1998.00231.x
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DOI: https://doi.org/10.1046/j.1525-1497.1998.00231.x