Stephen J.LurieMD, PhD, Senior EditorIndividualAuthor
Copyright 2002 American Medical Association. All Rights Reserved.
Applicable FARS/DFARS Restrictions Apply to Government Use.2002
To the Editor: In their review of the hospitalist
movement, Drs Wachter and Goldman1 conclude
that "in general . . . surveys of patients who were cared for by hospitalists
show high levels of satisfaction . . . " but they fail to emphasize that 14
(74%) of 19 studies cited did not report on patient satisfaction. Furthermore,
it is important to distinguish patient satisfaction with individual hospitalist's
care from satisfaction with a system that is associated with the lack of primary
care physicians' involvement in the care of their hospitalized patients. Based
on my experience as a hospital-based consultant, many patients are satisfied
with their hospitalist's care but are unhappy that their primary care physician
will not participate in their inhospital care.
Manian FA. Advantages and Limitations of the Hospitalist Movement. JAMA. 2002;287(16):2073-2076. doi:10.1001/jama.287.16.2073