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Association of the work schedules of hospitalists with patient outcomes of hospitalization

JAMA Internal Medicine Feb 09, 2020

Goodwin JS, et al. - This retrospective cohort study was performed to ascertain whether admitted patients receiving care from hospitalists with more discontinuous schedules experience worse outcomes. The conditional models were applied to evaluate Medicare claims data for 114,777 medical admissions of individuals with a 3-day to the 6-day length of stay between January 1, 2014, and November 30, 2016, who received all general medical care from hospitalists in 229 hospitals in Texas. Data were examined between November 2018 and June 2019. The patient mortality in the 30 days after discharge was the primary endpoint. Secondary endpoints included readmission rates and Medicare costs in the 30 days after discharge, and discharge destination. Hospitalist schedules vary broadly. Admitted individuals getting care from hospitalists with schedules that support inpatient continuity of care may undergo better results of hospitalization.
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