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Research ArticleFamily Practice and The Health Care System

Family Physicians and Current Inpatient Practice

Daniel S. Stadler, Stephen J. Zyzanski, Kurt C. Stange and Doreen M. Langa
The Journal of the American Board of Family Practice September 1997, 10 (5) 357-362; DOI: https://doi.org/10.3122/jabfm.10.5.357
Daniel S. Stadler
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Stephen J. Zyzanski
PhD
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Kurt C. Stange
MD, PhD
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Doreen M. Langa
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Abstract

Background: Increasing demand for primary care physicians has led some to recommend that family physicians focus on ambulatory care, leaving inpatient care to hospital-based physicians only. This study examines the current level of family physician involvement in the care of hospitalized patients and the factors which determine that involvement.

Methods: A questionnaire was sent to a random sample of 415 practicing family physician members of the American Academy of Family Physicians. An inpatient involvement score was generated based on responses to a series of hypothetical clinical scenarios involving hospitalized patients. Physician and practice characteristics were tested for associations with the involvement score.

Results: The typical responding physician (n = 228) was male, married, and board certified, with an average age of 45 years and in community-based practice. The median number of annual admissions was 60. Independent predictors of inpatient involvement were younger physician age, greater enjoyment of inpatient and outpatient medicine, fewer extrahospital obligations, and less-complex disease in the hospitalized patient.

Conclusions: Inpatient medicine continues to figure prominently in the work of family physicians. The strongest predictors for inpatient involvement are those controlled by the physician's individual choices and characteristics rather than external and bureaucratic factors.

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The Journal of the American Board of Family     Practice: 10 (5)
The Journal of the American Board of Family Practice
Vol. 10, Issue 5
1 Sep 1997
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Family Physicians and Current Inpatient Practice
Daniel S. Stadler, Stephen J. Zyzanski, Kurt C. Stange, Doreen M. Langa
The Journal of the American Board of Family Practice Sep 1997, 10 (5) 357-362; DOI: 10.3122/jabfm.10.5.357

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Family Physicians and Current Inpatient Practice
Daniel S. Stadler, Stephen J. Zyzanski, Kurt C. Stange, Doreen M. Langa
The Journal of the American Board of Family Practice Sep 1997, 10 (5) 357-362; DOI: 10.3122/jabfm.10.5.357
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