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Related Experiment Video

Updated: Jan 24, 2026

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Hospitalists, value and the future.

Ari Hoffman1, Arian Hatefi2, Robert Wachter3

  • 1Department of Medicine, University of California San Francisco, San Francisco, CA, USA.

Future Hospital Journal
|May 18, 2019
PubMed
Summary
This summary is machine-generated.

The hospitalist movement in the US improved healthcare value by optimizing care quality and cost. This innovation in healthcare delivery offers lessons for global health systems seeking efficiency.

Keywords:
High-value carehealthcare deliveryhealthcare workforcehospital medicinehospitalist

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Area of Science:

  • Health Services Research
  • Healthcare Management
  • Medical Education

Background:

  • Healthcare systems globally face pressure to enhance value, balancing quality care with cost-efficiency.
  • The emergence of hospitalists in the US was a response to evolving healthcare dynamics and cost-containment efforts.
  • Hospitalists are specialized inpatient physicians focused on managing acute care.

Purpose of the Study:

  • To review the history and impact of the hospitalist movement in the US.
  • To examine the evidence supporting hospitalist contributions to healthcare value.
  • To explore lessons learned and future challenges for hospitalists.

Main Methods:

  • Historical review of the hospitalist movement.
  • Analysis of evidence on hospitalist care quality and cost-effectiveness.
  • Discussion of the impact on healthcare workforce and delivery models.

Main Results:

  • The hospitalist model has demonstrably influenced healthcare value through improved efficiency and care coordination.
  • Evidence suggests hospitalists contribute positively to patient outcomes and system resource utilization.
  • The movement represents a significant re-engineering of physician roles in inpatient settings.

Conclusions:

  • The hospitalist movement exemplifies successful innovation in healthcare delivery, driven by a commitment to value.
  • Openness to challenging traditional practices was key to the hospitalist's success.
  • The principles and lessons from the US hospitalist experience have potential implications for international healthcare systems.