Comparison of hospital costs and length of stay associated with general internists and hospitalist physicians at a community hospital

Am J Manag Care. 2004 Sep;10(9):626-30.


Objective: To compare initial and long-term hospital resource utilization of hospitalists and general internists at an urban community hospital.

Study design: A retrospective cohort analysis.

Methods: Data were collected from 11 750 admissions associated with 28 diagnosis-related groups for 6 years (October 1, 1994, to September 30, 2000). Hospital cost, length of stay, mortality, and 30-day readmission rates of general and hospitalist internists were analyzed for comparison.

Results: Hospitalists had generally lower utilization compared with general internists. Overall, length of stay and hospital cost were 16.1% and 8.3% lower, respectively, for hospitalists. Hospital mortality and 30-day readmissions were similar for both physician groups.

Conclusions: Hospital resource utilization is moderately lower for hospitalists compared with private practicing general internists.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cohort Studies
  • Diagnosis-Related Groups
  • Female
  • Health Resources / statistics & numerical data*
  • Hospital Costs*
  • Hospitalists*
  • Hospitals, Community / economics*
  • Humans
  • Internal Medicine*
  • Internship and Residency*
  • Length of Stay*
  • Male
  • Retrospective Studies
  • United States
  • Workforce