Results The 711 654 hospital admissions included 408 489 women (57.4%) mean (SD) age of the population was 80 (8.5) years. Main Outcomes and Measures Outcomes included length of stay, Medicare Part B inpatient charges, discharge destination, all-cause 7- and 30-day readmissions, 90-day outpatient specialist visits, and 30-day mortality. A total of 711 654 admissions with patients receiving care from 14 584 hospitalists at 737 hospitals were included.Įxposure Admission to high-consulting hospitalists, considered to be those who were in the top 25% of the distribution of consulting frequency at their own hospital (adjusted for patient case mix). Data were analyzed from January 31, 2017, to May 9, 2019. Hospitalist consultation tendency was identified from January 1, 2013, to Decemadmissions were calculated in 2013 and outcomes were measured in 2014. Objective To examine outcomes and resource use of patients cared for by hospitalists who use more inpatient consultation than their colleagues.ĭesign, Setting, and Participants A retrospective cohort study of medical admissions to hospitalists among fee-for-service Medicare beneficiaries was conducted.
Importance Evidence is lacking on the consequences of high rates of inpatient consultation. Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.Complete Multivariable Model for High-Consulting Hospitalist Models, Top Quartile Versus All Others, With Outcome of Mortality at 30 Days Complete Multivariable Model for High-Consulting Hospitalist Models, Top Quartile Versus All Others, With Outcome of Visit to a Specialist at 90 DaysĮTable 8. Complete Multivariable Model for High-Consulting Hospitalist Models, Top Quartile Versus All Others, With Outcome of Readmission at 30 DaysĮTable 7.
Complete Multivariable Model for High-Consulting Hospitalist Models, Top Quartile Versus All Others, With Outcome of Readmission at 7 DaysĮTable 6. Complete Multivariable Model for High-Consulting Hospitalist Models, Top Quartile Versus All Others, With Outcome of Discharge HomeĮTable 5. Complete Multivariable Model for High-Consulting Hospitalist Models, Top Quartile Versus All Others, With Outcome of Part B SpendingĮTable 4. Complete Multivariable Model for High-Consulting Hospitalist Models, Top Quartile Versus All Others, With Outcome of Length of StayĮTable 3.