Economic effects of community versus hospital-based faculty pneumonia care |
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Authors: | Dr. Michael D. Stein MD Scott Hanson MD MPH Dominick Tammaro MD Lucy Hanna MS Albert S. Most MD |
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Affiliation: | Rhode Island Hospital, Brown University School of Medicine, Providence, R.I. |
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Abstract: | To compare the length of stay and charges for patients with pneumonia admitted in 1995 to the teaching and nonteaching services of a Northeastern teaching hospital, we reviewed the charts of 237 patients. Patients cared for by hospital-based generalists working with housestaff (teaching service) were discharged more quickly and with lower or equivalent charges than patients cared for by community-based attending physicians working either with housestaff (private teaching service) or alone (nonteaching service). Academic teaching services staffed by general medicine faculty may provide efficient inpatient pneumonia care. |
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Keywords: | pneumonia, cost of care hospital-based generalists community-based generalists teaching service hospitalists |
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