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The hospitalist program paradox: Solution or enabler?

Good things come from hospitalist programs. Well-run hospitalist programs produce shorter lengths of stay, better core measure compliance, and more rapid adoption of order sets and pro­tocols. Primary care physicians (PCP) experience an increase in productivity and income after turning over their inpatients to hospitalists. Hospitalist programs enhance specialist recruitment and retention with the promise that someone else will manage the care of hip fractures and gastrointestinal bleeders, leaving the specialists free to do more revenue-generating procedures.

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