Reorganizing an academic medical service: impact on cost, quality, patient satisfaction, and education.

@article{Wachter1998ReorganizingAA,
  title={Reorganizing an academic medical service: impact on cost, quality, patient satisfaction, and education.},
  author={Robert M. Wachter and Patricia P. Katz and Jonathan A. Showstack and Andrew B Bindman and Lee W Goldman},
  journal={JAMA},
  year={1998},
  volume={279 19},
  pages={1560-5}
}
CONTEXT Academic medical centers are under enormous pressure to improve quality and cut costs while preserving education. OBJECTIVE To determine whether a reorganized academic medical service, led by faculty members who attended more often and became involved earlier and more intensively in care, would lower costs without compromising quality and education. DESIGN Alternate-day controlled trial. SETTING Inpatient academic general medical service. PATIENTS The 1623 patients discharged… CONTINUE READING

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