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Does the value of hospital medicine on length of stay, cost, quality of care, and patient use extend to its equivalent in neurology? To find out, investigators retrospectively examined patient outcomes 2 years before (343 patients) and 2 years after (436 patients) introduction of a neurohospitalist service at an academic medical center in California. Stroke patients belonged to a separate neurovascular service and therefore were excluded.
Before implementation of the neurohospitalist service, the general neurology service was managed by 11 attending neurologists who provided both primary and consult services for 1 month annually. After implementation, the general service was separated into primary and consult teams with a neurohospitalist as…