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Books, Journals, New Media
December 21, 2005

Hospital Medicine

Author Affiliations

Books, Journals, New Media Section Editor: Harriet S. Meyer, MD, Contributing Editor, JAMA; Journal Review Editor: Brenda L. Seago, MLS, MA, Medical College of Virginia Campus, Virginia Commonwealth University.

JAMA. 2005;294(23):3034. doi:10.1001/jama.294.23.3034-a

In 1996 Drs Wachter and Goldman described a model for care in the United States in which a specialized group of physicians, termed “hospitalists,” would be responsible for providing inpatient care in place of the primary care physician. An initial driving force behind this change was the displacement of a significant degree of hospital care to ambulatory and short-stay environments. This displacement resulted in a sicker hospitalized patient population requiring more specialized and experienced clinicians. Cost pressures, decreasing inpatient volumes, and increasing time constraints on primary care physicians in the office also contributed to the development of this care model.1

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