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April 24, 2002

Advantages and Limitations of the Hospitalist Movement

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthor

JAMA. 2002;287(16):2073-2076. doi:10.1001/jama.287.16.2073

To the Editor: I agree with Drs Wachter and Goldman1 about the need for "rigorous analysis of the evidence"of the hospitalist movement. This analysis should be extended to review some dimensions that have not been considered in most of the studies to date. Three potential areas of study come to mind. First, what will happen to the patient-physician relationship over the long term when a personal physician is not involved in the patient's health care at its most critical times? Perhaps the nonhospital physician would then be less effective in altering health habits and behaviors or averting the unnecessary use of technologies.

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