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Published on: February 16, 2011
Provider expectations and experiences of comanagement
Keiki Hinami1, Chad T Whelan, R Tamara Konetzka
1Division of Hospital Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA. khinami@nmh.org
Journal of Hospital Medicine
|September 15, 2011
Summary
Hospitalist comanagement is common, but provider roles and decision-making preferences vary. While most prefer hospitalists lead, experiences with improved patient care differed among provider types.
Area of Science:
- Healthcare Management
- Collaborative Practice
- Interprofessional Communication
Background:
- Hospitalist comanagement for complex patients is rising.
- Understanding provider expectations in collaborative models is crucial.
Purpose of the Study:
- To analyze provider expectations and experiences in a medical hepatology comanagement service.
- To assess decision-making preferences and role clarity in a collaborative care setting.
Main Methods:
- Survey data from hospitalists, hepatologists, nonphysician providers (NPPs), and fellows were analyzed.
- Baseline and repeated surveys captured preferences and experiences with decision-making.
Main Results:
- Most providers understood their roles, preferring hospitalist leadership in management decisions.
- Conflicting preferences emerged regarding hepatologist involvement.
- While most initially believed comanagement improves care, fewer NPPs and fellows experienced this improvement.
Conclusions:
- Provider roles and decision-making preferences in comanagement are not uniform.
- Consensus exists that hospitalists should be broadly involved in management.
- Further research is needed to align experiences with expectations in collaborative care models.
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