In this issue of JAMA Internal Medicine, Kato et al1 assessed readmission and mortality rates in patients cared for by hospitalists, stratifying the hospitalists by how many days in a year they billed for services. Patients with hospitalists who worked fewer days had higher mortality, while readmission rates were not associated with how many days the hospitalist saw patients in the year. The association of number of working days with mortality was independent of hospitalists’ age and gender, and of the teaching status of the hospital, while there was a trend for a larger association among patients with more severe illness. The authors include an impressive number of secondary and sensitivity analyses to allow the reader a more complete picture of the extent of and limits to their findings.
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Goodwin JS. Outcomes of Care by Hospitalists: Do Their Schedules Matter? JAMA Intern Med. Published online September 13, 2021. doi:10.1001/jamainternmed.2021.5246
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