Talk:Hospital medicine

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Unethical relationship of physicians who are owned by hospital

Is there not any data that can be added about the unethical relationship that is formed when the hospital owns and commands the hand of the physician? Currently contemporary hospital physicians are a tool of the hospital used to maximize their profits. Gaining profit is not always a bad goal - but when it comes at a growing cost of the morbidity and mortality of the patients who are admitted to the hospital - this becomes a serious area of ethical dilemma. Insurnace companies should not own hospitals. Hospitals should not own doctors. Insurance companies should not own doctors. Insurance companies should not train doctors by owning the medical school. This will all become very ugly soon. Perhaps with the "readmit" of Rep Scalise an unbiased investigation may show that hospital based algorithms, length of stay, DRGs, and other factors designed to "get the patient out" may not be the most effective way to care for humans. (https://www.washingtonpost.com/local/public-safety/rep-scalise-is-readmitted-to-medstar-intensive-care-as-doctors-feared-new-dangers/2017/07/05/25f5c5de-61f0-11e7-8adc-fea80e32bf47_story.html?utm_term=.5121c2796ef2)

Specific training

This may be a tad premature, but hospitalist-specific training recommendations are going to be presented at SHM (I think) after New Year's. There is enough evidence in the literature for specific training that I think more real tracks (not just extra inpatient months in 2nd and 3rd years) will crop up. Detailing hospitalist-specific training may be a worthwhile addition to the article, especially since it's being used to legitimize HM as a separate profession. - Emt147 ^Burninate! 23:48, 29 November 2005 (UTC)[reply]

Hospitalist-specific training is now picking-up momentum - I'll edit-in some details about conference-based and remote training. --Bikeduckquack (talk) 13:41, 23 May 2011 (UTC)[reply]

What does the phrase about inpatient coverage per mean? Thanks! Mseliw 15:45, 19 May 2007 (UTC)[reply]

Did anyone find data to suggest better care provided by "owned doctors"?Vegaproc (talk) 17:56, 11 July 2017 (UTC)[reply]

History

Hi! Just wondering why the history section only covers hospital medicine in the United States. The culture of hospital medicine dates back into the 18th century in Paris, and there is a vast history of hospital medicine missing from this article. The article is also very American-centric as a whole, even though hospital medicine is nearly as old as America itself. Sarfrazzle (talk)

I agree with Sarfrazzle that this article would benefit from a broader worldview - an overview of medical practice within hospitals is incomplete without considering Paris institutions, among others. Alternatively, this article could be renamed explicitly "Hospital Medicine in the United States", perhaps, but I prefer the general nature of the "Hospital medicine" scope. Henryschuh (talk) 03:26, 24 February 2017 (UTC)[reply]

This article is about the relatively new medical specialty. See Hospital for the general article on medical practice in hospitals. History of hospitals already covers some of the "vast history" of hospital medicine, but could use more work. It seems to imply that 18th century London was where medical innovation in hospitals began. StarryGrandma (talk) 23:18, 1 March 2017 (UTC)[reply]