Renaissance of hospital generalists

@article{Wachter2012RenaissanceOH,
  title={Renaissance of hospital generalists},
  author={R. Wachter and D. Bell},
  journal={BMJ : British Medical Journal},
  year={2012},
  volume={344}
}
Hospital medicine in the US and acute medicine in the UK are the fastest growing specialties in their countries. Robert M Wachter and Derek Bell examine the factors behind their rise and how the differing national healthcare systems have influenced their structure 
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References

SHOWING 1-10 OF 28 REFERENCES
A guide to the acute medical unit.
TLDR
This map shows how acute medical units, which provide the best possible care for acutely unwell medical patients, are increasingly common in the UK. Expand
Acute medicine: making it work for patients.
The report of a working party of the Royal College of Physicians, Acute Medicine: making it work for patients, seeks to improve hospital care of patients who are acutely ill and highlights theExpand
Acute Medicine: triage, timing and teaching in the context of medical emergency admissions.
TLDR
Research is needed to formally evaluate the impact of the format of service delivery on clinical outcomes and length of hospital stay for patients with comparable sickness profiles. Expand
Acute medical units: review of evidence.
TLDR
The unifying feature being the recognition that traditional models of hospital care were not patient centered, delivered poor outcomes and offered bad value for money, in conjunction with therecognition that standardizing aspects of medical management of many conditions such as stroke and myocardial infarction can improve outcome. Expand
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,Expand
Growth in the care of older patients by hospitalists in the United States.
TLDR
These analyses of data from Medicare claims showed a substantial increase in the care of hospitalized patients by hospitalist physicians from 1995 to 2006, with marked geographic variation in the rates of care provided by hospitalists. Expand
Effectiveness of acute medical units in hospitals: a systematic review.
  • I. Scott, L. Vaughan, D. Bell
  • Medicine
  • International journal for quality in health care : journal of the International Society for Quality in Health Care
  • 2009
TLDR
Limited observational data suggest AMUs reduce in-patient mortality, length of stay and emergency department access block without increasing readmission rates, and improve patient and staff satisfaction. Expand
A systematic review of outcomes and quality measures in adult patients cared for by hospitalists vs nonhospitalists.
TLDR
General agreement is shown that hospitalist care leads to shorter length of stay and lower cost per stay and whether hospitalists provide demonstrable benefit in other areas of care. Expand
The hospitalist movement 5 years later.
TLDR
Empirical research supports the premise that hospitalists improve inpatient efficiency without harmful effects on quality or patient satisfaction, and analyzes the impact of hospitalists on the health care system and frame key issues facing the movement. Expand
Do subspecialists working outside of their specialty provide less efficient and lower-quality care to hospitalized patients than do primary care physicians?
TLDR
Patients cared for by subspecialists practicing outside of their subspecialty had longer lengths of stay, and prolongations of stay were observed for patients with congestive heart failure, upper gastrointestinal hemorrhage, and community-acquired pneumonia than patients care for by general internists. Expand
...
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2
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