Economic effects of community versus hospital-based faculty pneumonia care.
To compare the length of stay and charges for patients with pneumonia admitted in 1995 to the teaching and nonteaching services of a Northeastern teaching hospital, we reviewed the charts of 237 patients. Patients cared for by hospital-based generalists working with housestaff (teaching service) were discharged more quickly and with lower or equivalent charges than patients cared for by community-based attending physicians working either with housestaff (private teaching service) or alone (nonteaching service). Academic teaching services staffed by general medicine faculty may provide efficient inpatient pneumonia care.
Stein
M D
MD
Rhode Island Hospital, Brown University School of Medicine, Providence 02903, USA.
Hanson
S
S
Tammaro
D
D
Hanna
L
L
Most
A S
AS
D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D019090:Case Management / Q000592:standards; D016009:Chi-Square Distribution; D005260:Female; D017721:Hospital Costs; D020445:Hospitalists; D006760:Hospitalization / Q000191:economics*; D006764:Hospitals, Community; D006784:Hospitals, Teaching; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D010821:Physicians, Family; D011014:Pneumonia / Q000191:economics* / Q000401:mortality / Q000628:therapy