Whither Continuity of Care?

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Abstract
As I walk down the halls of the hospital to see my patients, I cannot help but notice a marked change. The sight of a primary care internist taking care of his or her patients while they are hospitalized is becoming increasingly rare, thanks to the supplanting of general internists by “hospitalists” in the name of cost effectiveness. It seems as though, almost overnight, general internists have been declared unqualified to take care of hospitalized patients. Family-practice physicians still review their patients' charts and take care of their patients while they are hospitalized. Ironically, general internists, who are often employees . . .

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