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How physicians perceive hospitalist services after implementation: anticipation vs reality
Andrew D Auerbach1, Mark D Aronson, Roger B Davis
1Department of Medicine, University of California, San Francisco, 94143, USA
Archives of Internal Medicine
|October 29, 2003
Summary
Physician attitudes toward hospitalist models improved after implementation, with more agreeing it enhances care quality and career satisfaction. Older physicians and those with less busy inpatient practices were more favorable toward the hospitalist model.
Area of Science:
- Internal Medicine
- Healthcare Management
- Physician Workforce Studies
Background:
- The hospitalist model has emerged as a significant shift in inpatient care delivery.
- Understanding physician attitudes towards this model is crucial for successful implementation and integration.
Purpose of the Study:
- To evaluate changes in internists' attitudes towards the hospitalist model following the introduction of a new inpatient service.
- To identify factors influencing physician perceptions of the hospitalist system.
Main Methods:
- Cross-sectional surveys were conducted in 1998 and 2000 among board-certified internal medicine physicians at a tertiary care hospital.
- Multivariable models were employed to analyze survey responses concerning attitudes towards inpatient care and the hospitalist model.
Main Results:
- In 2000, physicians were more likely to agree that hospitalist services improve care quality (P=.002) and disagreed that it diminishes career satisfaction (P<.001) or harms the physician-patient relationship (P<.001).
- Older physicians were more likely to favor the hospitalist model, while those with busier inpatient practices showed more negative attitudes.
- No significant differences were observed in reported patient satisfaction or overall career satisfaction.
Conclusions:
- Physician attitudes, including concerns about career satisfaction and patient relationships, improved after experiencing a voluntary hospitalist system.
- Further research is recommended to explore the impact of the hospitalist model on patient satisfaction and overall quality of care.