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Just because you can, doesn't mean that you should: A call for the rational application of hospitalist comanagement
Author(s) -
Siegal Eric M.
Publication year - 2008
Publication title -
journal of hospital medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.128
H-Index - 65
eISSN - 1553-5606
pISSN - 1553-5592
DOI - 10.1002/jhm.361
Subject(s) - medicine , economic shortage , burnout , disengagement theory , hospital medicine , unintended consequences , medical emergency , family medicine , law , gerontology , clinical psychology , linguistics , philosophy , government (linguistics) , political science
Medical comanagement has become a mainstay of hospital medicine. Several studies, however, suggest that medical consultation and comanagement may not be as effective as originally anticipated. The expansion of comanagement services has helped fuel massive demand for hospitalists and with it a critical and potentially destabilizing hospitalist manpower shortage. Comanagement may also drive unanticipated consequences such as facilitating surgeon and specialist disengagement and hospitalist career dissatisfaction and burnout. Comanagement services should be developed carefully and methodically, paying close attention to consequences, intended and unintended. Journal of Hospital Medicine 2008;3:398–402. © 2008 Society of Hospital Medicine.