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Letters |

Advantages and Limitations of the Hospitalist Movement

Farrin A. Manian, MD, MPH
JAMA. 2002;287(16):2073-2076. doi:10.1001/jama.287.16.2073.
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To the Editor: In their review of the hospitalist movement, Drs Wachter and Goldman1 conclude that "in general . . . surveys of patients who were cared for by hospitalists show high levels of satisfaction . . . " but they fail to emphasize that 14 (74%) of 19 studies cited did not report on patient satisfaction. Furthermore, it is important to distinguish patient satisfaction with individual hospitalist's care from satisfaction with a system that is associated with the lack of primary care physicians' involvement in the care of their hospitalized patients. Based on my experience as a hospital-based consultant, many patients are satisfied with their hospitalist's care but are unhappy that their primary care physician will not participate in their inhospital care.

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