Adding to Matthew's comments:

The established trend is to use "hospitalists." Your doc gets some feedback, etc on your progress, but your inpatient care is directed and managed by the hospital's W-2 employed hospitalist. I'd not call a hospitalist a specialist other than as defined contractually.

Another reason your doc may only have privileges at one hospital, besides being an employee of that hospital, is that its often required that the majority of your admissions (51%?) must go to the hospital offering you admissions privileges (remember the hospitalist will take over care for your pt upon admission). A large hospital system owned by a 'religious-charitable organization does this.. so its not a profit/nonprofit split. We left Kansas some time ago.


On Sep 26, 2007, at 11:10 AM, Matthew Taylor wrote:

Sometimes hospitals also restrict how many doctors they will allow privileges as well. Some very good family practice doctors have no privileges at all, as most anything going on in a hospital involves a specialist.


On Sep 26, 2007, at 10:33 AM, Rev. Stewart Marshall wrote:

What is sometimes overlooked is that Doctor preference can also be an indicator of what are the better hospitals.

If you have a family physician and he only chooses to associate with one particular hospital there must be a reason.



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