We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Clinical and Financial Implications of Consulting Physicians in the Management of Surgical Patients.
- Authors
Reza, Joseph A.; Steve Eubanks, W.; de la Fuente, Sebastian G.
- Abstract
Background: The present study was designed to evaluate the immediate consequences that the number of consulting physicians has on length of stay (LOS), in-hospital mortality, 30-day readmission rates, direct health care costs, and contribution margins. Methods: A retrospective review of administrative databases for the years 2013 and 2014 was performed at the Florida Hospital Adventist Healthcare System. Results: 11 274 patients were included in the analysis. Total and variable costs increased by $1347 and $592, respectively, with each consulting physician service per patient. The contribution margin decreased by $354 per patient/consulting physician. Each consulting physician increased LOS by.72 days and increased odds ratio of mortality and 30-day readmission by 5% and 3%, respectively. Conclusions: Our research suggests that each consulting physician added to the care of an individual surgical patient negatively affected LOS, readmission rates, in-hospital mortality, and costs.
- Publication
American Surgeon, 2022, Vol 88, Issue 4, p578
- ISSN
0003-1348
- Publication type
Article
- DOI
10.1177/0003134820952439