title: Measuring patient experiences on hospitalist and teaching services: Patient responses to a 30-day postdischarge questionnaire.
abstract: BACKGROUND
  Data comparing patient experiences between general medicine teaching and nonteaching hospitalist services are lacking.
  
  
  OBJECTIVE
  Evaluate hospitalized patients' experience on general medicine teaching and nonteaching hospitalist services by assessing patients' confidence in their ability to identify their physician(s), understand their roles, and their rating of the coordination and overall care.
  
  
  METHODS
  Retrospective cohort analysis of general medicine teaching and nonteaching hospitalist services from 2007 to 2013 at an academic medical center. Patients were surveyed 30-days after hospital discharge regarding their confidence in their ability to identify their physician(s), understand the role of their physician(s), and their perceptions of coordination and overall care. A 3-level, mixed effects logistic regression was performed to ascertain the association between service type and patient-reported outcomes.
  
  
  RESULTS
  Data from 4591 general medicine teaching and 1811 nonteaching hospitalist service patients demonstrated that those cared for by the hospitalist service were more likely to report being able to identify their physician (50% vs 45%, P < 0.001), understand their role (54% vs 50%, P < 0.001), and rate greater satisfaction with coordination (68 vs 64%, P = 0.006) and overall care (73% vs 67%, P < 0.001). In regression models, the hospitalist service was associated with higher ratings in overall care (odds ratio [OR]: 1.33; 95% confidence interval [CI]: 1.15-1.47), even when hospitalists were the attendings on general medicine teaching services (OR: 1.17; 95% CI: 1.01-1.31).
  
  
  CONCLUSIONS
  Patients on a nonteaching hospitalist service rated their overall care slightly better than patients on a general medicine teaching service. Team structure and complexity may play a role in this difference.
authors.affiliation: Section of Hospital Medicine, University of Chicago Medical Center, Chicago, Illinois.
authors.forename: Charlie M
authors.initials: CM
authors.lastname: Wray
authors.affiliation: Section of Hospital Medicine, University of Chicago Medical Center, Chicago, Illinois.
authors.forename: Andrea
authors.initials: A
authors.lastname: Flores
authors.affiliation: Department of Health Policy & Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
authors.forename: William V
authors.initials: WV
authors.lastname: Padula
authors.affiliation: Section of Hospital Medicine, University of Chicago Medical Center, Chicago, Illinois.
authors.forename: Micah T
authors.initials: MT
authors.lastname: Prochaska
authors.affiliation: Section of Hospital Medicine, University of Chicago Medical Center, Chicago, Illinois.|Department of Economics and the Harris School of Public Policy Studies, University of Chicago, Chicago, Illinois.
authors.forename: David O
authors.initials: DO
authors.lastname: Meltzer
authors.affiliation: Pritzker School of Medicine, University of Chicago, Chicago, Illinois.|Section of General Internal Medicine, University of Chicago Medical Center, Chicago, Illinois.
authors.forename: Vineet M
authors.initials: VM
authors.lastname: Arora
mesh_terms: D000046:Academic Medical Centers; D000328:Adult; D000368:Aged; D005260:Female; D020445:Hospitalists; D006769:Hospitals, General / Q000458:organization & administration; D006784:Hospitals, Teaching / Q000458:organization & administration; D006801:Humans; D007902:Length of Stay; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D012189:Retrospective Studies; D011795:Surveys and Questionnaires