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Table 3 Strengths and challenges of hospitalist programs as reported by interviewees (nā€‰=ā€‰38)

From: Characteristics of the ideal hospitalist inpatient care program: perceptions of Canadian health system leaders

Identified area of strength Number of instances (all sites)
Improved on-site presence, accessibility and availability of hospitalists 24
Improved inter-professional communication and collaboration 22
Improved knowledge of, and familiarity with, complexity and multimorbidity of hospitalized patients 18
Improved work culture (i.e. improved environment, inter-professional relationships and collegiality, etc.) 15
Increased willingness to address issues that arise among site administration, leadership and hospitalists 6
Identified area of challenge Number of instances (all sites)
Hospitalist handover leads to longer length of stay; delayed discharges; reduced continuity of care; disjointed communication with patients 22
Limited willingness for hospitalists to admit patients after-hours, leading to congestion. Often only respond to emergency issues 18
Inefficiency of hospitalists following their patients through the hospital even if transferred to different departments 13
Lack of timely administrative data on key performance indicators (e.g. length of stay, readmission rates, etc.) to inform learning, adaptation, and evidence-based decision-making 7
Hospitalists need to improve communication with community family physicians, from admission to discharge 6