The Emerging Role of “Hospitalists” in the American Health Care System
The explosive growth of managed care has led to an increased role for general internists and other primary care physicians in the American health care system. This change is welcome in many respects, since generalists have perennially been undervalued by health care institutions, payers, and even pa...
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| Published in | The New England journal of medicine Vol. 335; no. 7; pp. 514 - 517 |
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| Main Authors | , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Massachusetts Medical Society
15.08.1996
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| Subjects | |
| Online Access | Get full text |
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| Abstract | The explosive growth of managed care has led to an increased role for general internists and other primary care physicians in the American health care system. This change is welcome in many respects, since generalists have perennially been undervalued by health care institutions, payers, and even patients.
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The greater prominence of generalism has led to an increase in the number of medical students who choose careers in primary care,
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expanded job opportunities for generalists,
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and a modest increase in the incomes of primary care physicians.
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Two of the principles underlying generalism, whether in the form of internal medicine, pediatrics, . . . |
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| AbstractList | [...]we anticipate the rapid growth of a new breed of physicians we call "hospitalists" -- specialists in inpatient medicine -- who will be responsible for managing the care of hospitalized patients in the same way that primary care physicians are responsible for managing the care of outpatients. The explosive growth of managed care has led to an increased role for general internists and other primary care physicians in the American health care system. This change is welcome in many respects, since generalists have perennially been undervalued by health care institutions, payers, and even patients. 1 – 3 The greater prominence of generalism has led to an increase in the number of medical students who choose careers in primary care, 4 expanded job opportunities for generalists, 5 and a modest increase in the incomes of primary care physicians. 6 Two of the principles underlying generalism, whether in the form of internal medicine, pediatrics, . . . |
| Author | Wachter, Robert M Goldman, Lee |
| Author_xml | – sequence: 1 givenname: Robert M surname: Wachter fullname: Wachter, Robert M – sequence: 2 givenname: Lee surname: Goldman fullname: Goldman, Lee |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/8672160$$D View this record in MEDLINE/PubMed |
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| CODEN | NEJMAG |
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| Cites_doi | 10.1001/jama.272.3.222 10.1056/NEJM199410273311709 10.1016/0091-6749(91)92162-T 10.1001/archinte.153.19.2229 10.1001/jama.274.17.1380 10.1097/00003246-199204000-00018 10.1001/jama.274.18.1436 10.1001/jama.268.19.2655 10.2105/AJPH.79.12.1628 10.7326/0003-4819-112-11-864 10.1001/jama.264.13.1737 10.1056/NEJM199603143341106 10.1097/00005650-198706000-00004 10.1097/00001888-199512000-00024 10.1056/NEJM199303043280913 10.1001/jama.269.24.3136 10.1097/00003246-198801000-00003 10.1097/00005650-199409000-00002 10.1056/NEJM199410273311706 10.1001/jama.262.4.503 10.1001/jama.252.15.2023 10.1056/NEJM199303043280910 10.1001/jama.267.12.1624 10.1056/NEJM199405053301807 10.1001/jama.274.14.1137 10.1056/NEJM199410273311707 10.1056/NEJM199005313222211 10.1016/S0002-9610(99)80252-9 |
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| Snippet | The explosive growth of managed care has led to an increased role for general internists and other primary care physicians in the American health care system.... [...]we anticipate the rapid growth of a new breed of physicians we call "hospitalists" -- specialists in inpatient medicine -- who will be responsible for... |
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| Title | The Emerging Role of “Hospitalists” in the American Health Care System |
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