The Happy Hospitalist - Latest Comments in http://thehappyhospitalist.blogspot.com/2009/03/hospitalists-decrease-costs-and-improve.html

Re: http://thehappyhospitalist.blogspot.com/2009/03/hospitalists-decrease-costs-and-improve.html

R. W. Donnell — Fri, 03 Apr 2009 10:37:00 -0000

Hiya Happy.

I'm trying to access the full text and references of that systematic review, because I'd like to know if it included the big study by Bob Wachter and others presented at SHM 2005 which showed no improvement in any metric with the hospitalist model. The study was never published in a Medline indexed journal that I'm aware of (maybe a little publication bias within our ranks?)so it probably didn't make it into that review. That's a big problem, because the study wasone of the biggest, and most mthodologically sound ever done. Once I access the full text I may put up a post with my own take.

Re: http://thehappyhospitalist.blogspot.com/2009/03/hospitalists-decrease-costs-and-improve.html

Keith — Mon, 30 Mar 2009 18:17:00 -0000

Dear Happy,

Don't strain your arm patting yourself on the back.

After all, you and your kind represent another group of primary care physicians who have been shown time and again to be the best bargain in medicine. But the problem is no one else in this profession is interested in cost effective care. It is just so un- american.

Re: http://thehappyhospitalist.blogspot.com/2009/03/hospitalists-decrease-costs-and-improve.html

doc — Mon, 30 Mar 2009 12:43:00 -0000

No, offence, HH but who are you trying to convince?? Ok, you are all wonderful and cost saving and just super and everything, but..... who are you trying to convince? Those who read your blog are not going to be renewing your contract or setting your salary, so stop trying to convinve us, ok??