Ignite Creation Date:
2024-05-05 @ 12:00 PM
Last Modification Date:
2024-10-26 @ 9:18 AM
Study NCT ID:
NCT00204048
Status:
COMPLETED
Last Update Posted:
2023-05-06
First Post:
2005-09-12
Brief Title:
A Multicenter Trial of Academic Hospitalists
Sponsor:
University of Chicago
Organization:
University of Chicago
Study Overview
Official Title:
A Multicenter Trial of Academic Hospitalists
Status:
COMPLETED
Status Verified Date:
2023-05
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Care of hospitalized patients by hospitalists -- often defined as physicians who dedicate at least 25 of their practice to inpatient care -- is a recent growing and controversial trend in health care delivery in the United States But despite the growth of interest in hospitalists there have been few scientific evaluations of the concept The comprehensive aim of this research study is to measure and analyze the effects of hospitalists on patient outcomes costs and medical education on the general medical services of a group of academic centers
Detailed Description:
In 2001 a study titled A Multi-Center Trial of Academic Hospitalists began at the University of Chicago Hospital along with five additional academic institutions The study is currently and successfully collecting data solely at the University of Chicago Medical Center
The comprehensive aim of this proposed research is to measure and analyze the effects of hospitalists on patient outcomes costs and medical education on the general medicine services at the University of Chicago Medical Center UC The comprehensive aim of this research will be pursued through five specific aims
Specific Aim 1- To assess whether hospitalists affect the cost and quality of inpatient care This will be accomplished by analyzing the outcomes of 50000 patients assigned to hospitalists or non-hospitalists using a quasi-randomized design based on day of the week of admission Outcomes will include in-hospital and post-discharge mortality readmission emergency room use and patient satisfaction
Specific Aim 2- To assess the mechanisms by which hospitalists may effect the cost and quality of care Understanding these mechanisms is essential if hospitalist programs are to be designed in ways that permit them to achieve their desired benefits We will develop measures to assess the whether these possible mechanisms by which hospitalists may have their effects are related to costs and outcomes
Specific Aim 3- To assess the effects of hospitalists on housestaff and student education and satisfaction This will be accomplished by surveys administered to medical students and housestaff
Specific Aim 4 - To attempt to quantify primary care providers PCPs satisfaction with the frequency promptness manner and content of communication with the in-hospital healthcare team and to assess differences in PCP satisfaction with teams led by hospitalist and non-hospitalist attending physicians We hypothesize that deficiencies in such communication may impair continuity of care with outpatient physicians during hospitalization and at the time of discharge and may be improved when the attending physician is a hospitalist
Specific Aim 5- To assess the quality of care for vulnerable elders for specific geriatric syndromes and diseases by modifying our current surveys and chart abstraction tools in our project with questions aimed to address these issues
The comprehensive aim of this proposed research is to measure and analyze the effects of hospitalists on patient outcomes costs and medical education on the general medicine services at the University of Chicago Medical Center UC The comprehensive aim of this research will be pursued through five specific aims
Specific Aim 1- To assess whether hospitalists affect the cost and quality of inpatient care This will be accomplished by analyzing the outcomes of 50000 patients assigned to hospitalists or non-hospitalists using a quasi-randomized design based on day of the week of admission Outcomes will include in-hospital and post-discharge mortality readmission emergency room use and patient satisfaction
Specific Aim 2- To assess the mechanisms by which hospitalists may effect the cost and quality of care Understanding these mechanisms is essential if hospitalist programs are to be designed in ways that permit them to achieve their desired benefits We will develop measures to assess the whether these possible mechanisms by which hospitalists may have their effects are related to costs and outcomes
Specific Aim 3- To assess the effects of hospitalists on housestaff and student education and satisfaction This will be accomplished by surveys administered to medical students and housestaff
Specific Aim 4 - To attempt to quantify primary care providers PCPs satisfaction with the frequency promptness manner and content of communication with the in-hospital healthcare team and to assess differences in PCP satisfaction with teams led by hospitalist and non-hospitalist attending physicians We hypothesize that deficiencies in such communication may impair continuity of care with outpatient physicians during hospitalization and at the time of discharge and may be improved when the attending physician is a hospitalist
Specific Aim 5- To assess the quality of care for vulnerable elders for specific geriatric syndromes and diseases by modifying our current surveys and chart abstraction tools in our project with questions aimed to address these issues
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None