{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T10:31:46Z","timestamp":1791973906344,"version":"4.4.0"},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2007,6,4]],"date-time":"2007-06-04T00:00:00Z","timestamp":1180915200000},"content-version":"vor","delay-in-days":34,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Hospital Medicine"],"published-print":{"date-parts":[[2007,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>PURPOSE<\/jats:title><jats:p>To compare the resource utilization and clinical outcomes of medical care delivered on general internal medicine inpatient services at teaching and nonteaching services at an academic hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>From February to October 2002, 2189 patients admitted to a 450\u2010bed university\u2010affiliated community hospital were assigned either to a resident\u2010staffed teaching service (<jats:italic>n<\/jats:italic> = 1637) or to a hospitalist\u2010 or clinic\u2010based internist nonteaching service (<jats:italic>n<\/jats:italic> = 552). We compared total hospital costs per patient, length of hospital stay (LOS), hospital readmission within 30 days, in\u2010hospital mortality, and costs for pharmacy, laboratory, radiology, and others between teaching and nonteaching services.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Care on a teaching service was not associated with increased overall patient care costs ($5572 vs. $5576; <jats:italic>P<\/jats:italic> = .99), LOS (4.92 days vs. 5.10 days; <jats:italic>P<\/jats:italic> = .43), readmission rate (12.3% vs. 10.3%; <jats:italic>P<\/jats:italic> = .21), or in\u2010hospital mortality (3.7% vs. 4.5%; <jats:italic>P<\/jats:italic> = .40). Mean laboratory and radiology costs were higher on the teaching service, but costs for the pharmacy and for speech therapy, occupational therapy, physical therapy, respiratory therapy, pulmonary function testing, and GI endoscopy procedures were not statistically different between the 2 services, and residents did not order more tests or procedures. Case mix and illness severity, as reflected by the distribution of the most frequent DRGs and mean number of secondary diagnoses per patient and DRG\u2010specific LOS, were similar on the 2 services.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>At our academic hospital, admission to a general internal medicine teaching service resulted in patient care costs and clinical outcomes comparable to those admitted to a nonteaching service. Journal of Hospital Medicine 2007;2:150\u2013157. \u00a9 2007 Society of Hospital Medicine.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jhm.174","type":"journal-article","created":{"date-parts":[[2007,6,4]],"date-time":"2007-06-04T18:47:15Z","timestamp":1180982835000},"page":"150-157","source":"Crossref","is-referenced-by-count":40,"title":["Comparison of resource utilization and clinical outcomes between teaching and nonteaching medical services"],"prefix":"10.1002","volume":"2","author":[{"given":"Amir A.","family":"Khaliq","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiung\u2010Yu","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Apar Kishor","family":"Ganti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristie","family":"Invie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr.","given":"Raymond A.","family":"Smego","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2007,6,4]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(01)01112-3"},{"key":"e_1_2_5_3_2","first-page":"1706","article-title":"Value and cost of teaching hospitals: A prospective, multicenter, inception cohort study","volume":"22","author":"Zimmerman JE","year":"1994","journal-title":"Crit Care Med."},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200109000-00011"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(00)01219-9"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1067\/mic.2001.110567"},{"key":"e_1_2_5_7_2","first-page":"322","article-title":"Pulmonary sarcoidosis: comparison of patients at a university and a municipal hospital","volume":"91","author":"Yeager H","year":"1999","journal-title":"J Natl Med Assoc."},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-5273(02)00160-2"},{"key":"e_1_2_5_9_2","first-page":"183","article-title":"Breast cancer survival by teaching status of the initial treating hospital","volume":"164","author":"Chaudhry R","year":"2001","journal-title":"CMAJ."},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.284.10.1256"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199612193352505"},{"key":"e_1_2_5_12_2","first-page":"1220","article-title":"Quality of care at teaching and non\u2010teaching hospitals","volume":"284","author":"Allison JJ","year":"2000","journal-title":"JAMA."},{"key":"e_1_2_5_13_2","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1001\/jama.1997.03550060061037","article-title":"Severity\u2010adjusted mortality and length of stay in teaching and non\u2010teaching hospitals","volume":"278","author":"Rosenthal G","year":"1997","journal-title":"JAMA."},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199901283400408"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-137-11-200212030-00007"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-137-11-200212030-00006"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1992.03490130097037"},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.1093\/biomet\/70.1.41"}],"container-title":["Journal of Hospital Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjhm.174","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhm.174","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jhm.174","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/shmpublications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhm.174","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T18:43:48Z","timestamp":1760640228000},"score":1,"resource":{"primary":{"URL":"https:\/\/shmpublications.onlinelibrary.wiley.com\/doi\/10.1002\/jhm.174"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,5]]},"references-count":17,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2007,5]]}},"alternative-id":["10.1002\/jhm.174"],"URL":"https:\/\/doi.org\/10.1002\/jhm.174","archive":["Portico"],"relation":{},"ISSN":["1553-5592","1553-5606"],"issn-type":[{"value":"1553-5592","type":"print"},{"value":"1553-5606","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,5]]}}}