A Multicenter Trial of Academic Hospitalists
| Status: | Recruiting |
|---|---|
| Conditions: | Healthy Studies |
| Therapuetic Areas: | Other |
| Healthy: | No |
| Age Range: | 16 - Any |
| Updated: | 5/19/2016 |
| Start Date: | July 2001 |
| End Date: | December 2025 |
| Contact: | David Meltzer, M.D., Ph.D. |
| Email: | dmeltzer@medicine.bsd.uchicago.edu |
| Phone: | 773-702-0836 |
Care of hospitalized patients by "hospitalists" -- often defined as physicians who dedicate
at least 25% of their practice to inpatient care -- is a recent, growing, and controversial
trend in health care delivery in the United States. But despite the growth of interest in
hospitalists, there have been few scientific evaluations of the concept. The comprehensive
aim of this research study is to measure and analyze the effects of hospitalists on patient
outcomes, costs and medical education on the general medical services of a group of academic
centers.
at least 25% of their practice to inpatient care -- is a recent, growing, and controversial
trend in health care delivery in the United States. But despite the growth of interest in
hospitalists, there have been few scientific evaluations of the concept. The comprehensive
aim of this research study is to measure and analyze the effects of hospitalists on patient
outcomes, costs and medical education on the general medical services of a group of academic
centers.
In 2001, a study titled, "A Multi-Center Trial of Academic Hospitalists" began at the
University of Chicago Hospital along with five additional academic institutions. The study
is currently and successfully collecting data solely at the University of Chicago Medical
Center.
The comprehensive aim of this proposed research is to measure and analyze the effects of
hospitalists on patient outcomes, costs, and medical education on the general medicine
services at the University of Chicago Medical Center (UC). The comprehensive aim of this
research will be pursued through five specific aims:
Specific Aim #1- To assess whether hospitalists affect the cost and quality of inpatient
care. This will be accomplished by analyzing the outcomes of 50,000 patients assigned to
hospitalists or non-hospitalists using a quasi-randomized design based on day of the week of
admission. Outcomes will include in-hospital and post-discharge mortality, readmission,
emergency room use, and patient satisfaction.
Specific Aim #2- To assess the mechanisms by which hospitalists may effect the cost and
quality of care. Understanding these mechanisms is essential if hospitalist programs are to
be designed in ways that permit them to achieve their desired benefits. We will develop
measures to assess the whether these possible mechanisms by which hospitalists may have
their effects are related to costs and outcomes.
Specific Aim #3- To assess the effects of hospitalists on housestaff and student education
and satisfaction. This will be accomplished by surveys administered to medical students and
housestaff.
Specific Aim #4 - To attempt to quantify primary care providers' (PCP's) satisfaction with
the frequency, promptness, manner, and content of communication with the in-hospital
healthcare team, and to assess differences in PCP satisfaction with teams led by hospitalist
and non-hospitalist attending physicians. We hypothesize that deficiencies in such
communication may impair continuity of care with outpatient physicians during
hospitalization and at the time of discharge, and may be improved when the attending
physician is a hospitalist.
Specific Aim #5- To assess the quality of care for vulnerable elders for specific geriatric
syndromes and diseases by modifying our current surveys and chart abstraction tools in our
project with questions aimed to address these issues.
University of Chicago Hospital along with five additional academic institutions. The study
is currently and successfully collecting data solely at the University of Chicago Medical
Center.
The comprehensive aim of this proposed research is to measure and analyze the effects of
hospitalists on patient outcomes, costs, and medical education on the general medicine
services at the University of Chicago Medical Center (UC). The comprehensive aim of this
research will be pursued through five specific aims:
Specific Aim #1- To assess whether hospitalists affect the cost and quality of inpatient
care. This will be accomplished by analyzing the outcomes of 50,000 patients assigned to
hospitalists or non-hospitalists using a quasi-randomized design based on day of the week of
admission. Outcomes will include in-hospital and post-discharge mortality, readmission,
emergency room use, and patient satisfaction.
Specific Aim #2- To assess the mechanisms by which hospitalists may effect the cost and
quality of care. Understanding these mechanisms is essential if hospitalist programs are to
be designed in ways that permit them to achieve their desired benefits. We will develop
measures to assess the whether these possible mechanisms by which hospitalists may have
their effects are related to costs and outcomes.
Specific Aim #3- To assess the effects of hospitalists on housestaff and student education
and satisfaction. This will be accomplished by surveys administered to medical students and
housestaff.
Specific Aim #4 - To attempt to quantify primary care providers' (PCP's) satisfaction with
the frequency, promptness, manner, and content of communication with the in-hospital
healthcare team, and to assess differences in PCP satisfaction with teams led by hospitalist
and non-hospitalist attending physicians. We hypothesize that deficiencies in such
communication may impair continuity of care with outpatient physicians during
hospitalization and at the time of discharge, and may be improved when the attending
physician is a hospitalist.
Specific Aim #5- To assess the quality of care for vulnerable elders for specific geriatric
syndromes and diseases by modifying our current surveys and chart abstraction tools in our
project with questions aimed to address these issues.
Inclusion Criteria:
- General Medicine inpatients at the University of Chicago Hospital or Mercy Hospital
in Chicago Illinois
Exclusion Criteria:
- Non-General Medicine inpatients
We found this trial at
1
site
5801 South Ellis Avenue
Chicago, Illinois 60637
Chicago, Illinois 60637
773.702.1234
Phone: 773-702-0836
University of Chicago One of the world's premier academic and research institutions, the University of...
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