NCT00204048

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.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
104,940

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Jul 2001

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

July 1, 2001

Completed
4.2 years until next milestone

First Submitted

Initial submission to the registry

September 12, 2005

Completed
8 days until next milestone

First Posted

Study publicly available on registry

September 20, 2005

Completed
13.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2018

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2019

Completed
Last Updated

May 6, 2023

Status Verified

May 1, 2023

Enrollment Period

17.4 years

First QC Date

September 12, 2005

Last Update Submit

May 3, 2023

Conditions

Healthy

Keywords

Hospitalists

Outcome Measures

Primary Outcomes (1)

  • the effects of hospitalists on patient outcomes, costs, and medical education on the general medicine services

    This will be accomplished by analyzing the outcomes of 60,000 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

    30 days after discharge

Secondary Outcomes (2)

  • the effects of hospitalists on housestaff and student education and satisfaction

    1 academic year

  • quality of care for vulnerable elders

    30 days after discharge

Interventions

Observation (behavior)BEHAVIORAL

Inpatients admitted in GenMed at the University of Chicago will be consented to participate in an inpatient interview that consists of questions related to quality of care and satisfaction. The patient will also be interviewed over the phone 30 days after discharge and will be asked questions related to current health and their satisfaction during their stay at University of Chicago.

Eligibility Criteria

Age16 Years+
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodProbability Sample
Study Population

Inpatients admitted in General Medicine at the University of Chicago

You may qualify if:

  • General Medicine inpatients at the University of Chicago Hospital or Mercy Hospital in Chicago Illinois

You may not qualify if:

  • Non-General Medicine inpatients

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

The University of Chicago

Chicago, Illinois, 60637, United States

Location

Related Publications (4)

  • Karliner LS, Kim SE, Meltzer DO, Auerbach AD. Influence of language barriers on outcomes of hospital care for general medicine inpatients. J Hosp Med. 2010 May-Jun;5(5):276-82. doi: 10.1002/jhm.658.

    PMID: 20533573DERIVED

  • Hasan O, Meltzer DO, Shaykevich SA, Bell CM, Kaboli PJ, Auerbach AD, Wetterneck TB, Arora VM, Zhang J, Schnipper JL. Hospital readmission in general medicine patients: a prediction model. J Gen Intern Med. 2010 Mar;25(3):211-9. doi: 10.1007/s11606-009-1196-1. Epub 2009 Dec 15.

    PMID: 20013068DERIVED

  • Auerbach AD, Katz R, Pantilat SZ, Bernacki R, Schnipper J, Kaboli P, Wetterneck T, Gonzales D, Arora V, Zhang J, Meltzer D. Factors associated with discussion of care plans and code status at the time of hospital admission: results from the Multicenter Hospitalist Study. J Hosp Med. 2008 Nov-Dec;3(6):437-45. doi: 10.1002/jhm.369.

    PMID: 19084893DERIVED

  • Vasilevskis EE, Meltzer D, Schnipper J, Kaboli P, Wetterneck T, Gonzales D, Arora V, Zhang J, Auerbach AD. Quality of care for decompensated heart failure: comparable performance between academic hospitalists and non-hospitalists. J Gen Intern Med. 2008 Sep;23(9):1399-406. doi: 10.1007/s11606-008-0680-3. Epub 2008 Jul 1.

    PMID: 18592321DERIVED

MeSH Terms

Interventions

Behavior Observation Techniques

Intervention Hierarchy (Ancestors)

Psychological TechniquesInvestigative TechniquesBehavioral Disciplines and Activities

Study Officials

  • David Meltzer, M.D., Ph.D.

    University of Chicago

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
CROSS SECTIONAL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 12, 2005

First Posted

September 20, 2005

Study Start

July 1, 2001

Primary Completion

December 1, 2018

Study Completion

December 1, 2019

Last Updated

May 6, 2023

Record last verified: 2023-05

Data Sharing

IPD Sharing
Will not share

Locations

US(1)