The Trend of Hospitalists vs. Primary Physicians Term Paper by Master Researcher

The Trend of Hospitalists vs. Primary Physicians
A discussion on the changing scope of hospital physicians.
# 38178 | 1,650 words | 10 sources | MLA | 2002 | US
Published on Oct 07, 2003 in Medical and Health (General)

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The paper discusses how more doctors are specializing in outpatient care service versus patient care in hospitals. The paper looks at the benefits of these hospitalists for MCOs and other parties but also examines the criticism of this trend. The paper predicts that the growing pattern of hospitalist deployment is bound to remain in place, and to alter over time as adjustment is made. The paper notes that it is still hoped that general practitioners will continue to make at least an occasional visit to the hospital, even if on purely social missions.

Advantages to MCOs and other Parties
Criticism of the Trend Towards Hospitalists

From the Paper:

"Increasing numbers of American family physicians are trading their hospital practice for increased efficiency in outpatient settings. It is argued that hospital affiliation interrupts the normal outpatient practice of physicians who are happier to leave hospital service to hospitalist physicians specialized in the care of the admitted patient, and in communication with referring physicians or specialists who also may or may not be attached to a hospital according to the traditional pattern. (Henry 1997 1) A growing number of managed care organizations (MGOs), hospitals and physician-owned groups are hiring 'hospitalists' whose preliminary function is to care for patients in hospital, freeing up primary physicians to concentrate on outpatient service.
"In 1996, The National Association of Inpatient Physicians (NAIP) appeared with a membership of more than 500 and this affiliation has grown quickly towards the 1500 mark. Most hospitalists are internists, general surgeons, or sub-specialists including pulmonologists, whose practices involve significant hospital contact. According to literature made available by the NAIP, the organization aims to promote high quality and cost-effective care of the hospitalized patient, upholding the highest professionalism among hospitalists and other providers of inpatient care."

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