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Correspondence
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Volume 336:444-446 February 6, 1997 Number 6
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The Role of "Hospitalists" in the Health Care System

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 by Wachter, R. M.
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To the Editor: In their Sounding Board article on the emerging role of "hospitalists" in the American health care system (Aug. 15 issue),1 Drs. Wachter and Goldman express their view that developing a hospitalist specialty to care for inpatients is desirable and inevitable. I do not agree that separating patients from the doctor who knows them best, at perhaps the patient's moment of greatest need, is desirable. Nor is it clear that such separations save money. Often hospital-based physicians keep patients hospitalized longer and order more aggressive interventions than primary care physicians caring for patients with comparable conditions and outcomes, . . . [Full Text of this Article]

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