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Improved Inpatient Care through Greater Patient–Doctor Contact under the Hospitalist Management Approach: A Real-Time Assessment

Author

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  • Wonjeong Chae

    (BK21 FOUR R&E Center for Precision Public Health, College of Health Science, Korea University, Seoul 02841, Korea
    Institute of Health Services Research, Yonsei University, Seoul 03722, Korea)

  • Dong-Woo Choi

    (Institute of Health Services Research, Yonsei University, Seoul 03722, Korea)

  • Eun-Cheol Park

    (Institute of Health Services Research, Yonsei University, Seoul 03722, Korea
    Department of Preventive Medicine, College of Medicine, Yonsei University, Seoul 03722, Korea)

  • Sung-In Jang

    (Institute of Health Services Research, Yonsei University, Seoul 03722, Korea
    Department of Preventive Medicine, College of Medicine, Yonsei University, Seoul 03722, Korea)

Abstract

Objective: To examine the difference between hospitalist and non-hospitalist frequency of patient–doctor contact, duration of contact, cumulative contact time, and the amount of time taken by the doctor to resolve an issue in response to a medical call. Research Design and Measures: Data from 18 facilities and 36 wards (18 hospitalist wards and 18 non-hospitalist wards) were collected. The patient–doctor contact slip and medical call response slips were given to each inpatient ward to record. A total of 28,926 contacts occurred with 2990 patients, and a total of 8435 medical call responses occurred with 3329 patients. Multivariate logistic regression analyses and regression analyses were used for statistical analyses. Results: The average frequency of patient–doctor contact during a hospital stay was 10.0 times per patient for hospitalist patients. Using regression analyses, hospitalist patients had more contact with the attending physician (β = 5.6, standard error (SE) = 0.28, p < 0.0001). Based on cumulative contact time, hospitalists spent significantly more time with the patient (β = 32.29, SE = 1.54, p < 0.0001). After a medical call to resolve the issue, doctors who took longer than 10 min were 4.14 times (95% CI 3.15–5.44) and those who took longer than 30 min were 4.96 times (95% CI 2.75–8.95) more likely to be non-hospitalists than hospitalists. Conclusion: This study found that hospitalists devoted more time to having frequent encounters with patients. Therefore, inpatient care by a hospitalist who manages inpatient care from admission to discharge could improve the care quality.

Suggested Citation

  • Wonjeong Chae & Dong-Woo Choi & Eun-Cheol Park & Sung-In Jang, 2021. "Improved Inpatient Care through Greater Patient–Doctor Contact under the Hospitalist Management Approach: A Real-Time Assessment," IJERPH, MDPI, vol. 18(11), pages 1-12, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:11:p:5718-:d:562702
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