Just to make this interesting, let’s assume for a minute that no one believes that a practice focused on a site of care, such as hospitalists, ER doctors, and intensivists, offers no [sic] improvement in quality or efficiency. Would ER doctors and hospitalists have still been “invented?”
I’m confident the answer is yes.
ER doctors appeared in the 60’s and 70’s largely because existing specialties on the medical staff were less willing to treat emergency patients, especially if the patient was “unassigned.” And hospitalists began appearing in the ‘90s because PCPs were less willing to provide hospital care.
OK, this is exactly what I said a while back. Like emergency medicine, the value of the hospitalist model is the large and ever expanding niche. And the statement above regarding no improvement in quality or efficiency is not merely hypothetical in my view of the evidence, as I’ve said time and again.