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Hospital Staff, Not Attending Physicians, Provide Continuity of Care
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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With reference to the excellent article by Kearns et al1
in the January 22, 2001, issue of the ARCHIVES, the absence of differences
in length of stay, outcome, and utilization of resources comes as a welcome
reinforcement for the job done by attending physicians who supervise patient
care for only a few months each year. It dampens somewhat the enthusiasm for
the purported greater efficiency and quality of hospital-based physicians
who attend 10 months per year.
Not mentioned in the article is the role of house staff in smoothing
out the results. Duration of stay, requests for laboratory results, and adherence
to guidelines for care are routinely in the hands of the ward residents in
university-affiliated hospitals such as Santa Clara Valley Medical Center,
San Jose, Calif, and the University of California in San Francisco. As long
as there is no marked deviation from norms, there is usually very little . . . [Full Text of this Article]
RELATED ARTICLE
Hospital Care by Hospital-Based and Clinic-Based Faculty: A Prospective, Controlled Trial
Patrick J. Kearns, Clifford C. Wang, William J. Morris, Dennis G. Low, Allison S. Deacon, Stephanie Y. Chan, and William A. Jensen
Arch Intern Med. 2001;161(2):235-241.
ABSTRACT
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