Background: Hospitalists often care for patients who have substance use disorders as well as patients who are incarcerated. Availability of medications for substance use disorders (MSUD) varies based on state law and access varies based on facility, city, and county. Since hospitalization presents a unique opportunity to prevent negative consequences of substance use disorders, it [...]

Background: During the past two years, societal events and the COVID-19 pandemic have significantly increased awareness of the importance of diversity, equity, inclusion (DEI) efforts in the healthcare community. Hospitalists have a role in DEI efforts, especially as frontline providers during the pandemic, where racial disparities in hospitalizations (1) and deaths due to COVID-19 highlighted [...]

Background: Dysphagia is prevalent in older adults with dementia, particularly in the acute care setting. The objective of this study was to use an innovative approach to extract a more representative sample of patients with dysphagia from the electronic health record (EHR) to determine patient characteristics and outcomes associated with dysphagia in hospitalized persons with [...]

Background: Hematopoietic stem cell transplantation (HSCT) remains the only definitive treatment for many benign and malignant hematologic disorders. Despite advances in transplant medicine, HSCT still carries a significant risk of serious complications, including idiopathic pneumonia syndrome (IPS). IPS is characterized by diffuse alveolar injury that is not due to infection or fluid overload. IPS affects [...]

Background: Sepsis is one of the leading causes of admission to intensive care units (ICU), and it is one of the most expensive conditions treated in United State Hospitals accounting for $20.3 billion or 5.2% of total hospitalization cost. Idiopathic pulmonary fibrosis (IPF) is one of the leading causes of interstitial lung disease, with currently [...]

Background: Food insecurity (FI), the lack of access to nutritious food to maintain an active lifestyle, is associated with poor health outcomes and morbidities in both children and adults. COVID-19 has exacerbated FI and disproportionately impacts communities of color and low-income households. Hospitalization can be an important time to address FI as a social determinant [...]

Background: “Hospital at Home” (HaH) models of care have existed for over 20 years in the U.S. Recent demand for healthcare value, advances in relevant technologies, and the ongoing global pandemic have driven renewed attention to HaH models, including from the Center for Medicare and Medicaid Services (CMS), and have spawned several pilots within the [...]

Background: Patient surveys are frequently utilized to assess patient satisfaction with physician performance. These surveys often impact provider evaluations and may even effect reimbursement and employment. Patient satisfaction surveys often have several questions designed to assess distinct aspects of physician performance. Institutions may select specific questions for their individual performance measures rather than all results. [...]

Background: Several studies have been conducted worldwide on gender discrimination in the medical field[1]. A Japan-based study showed that although the number of female physicians in the country doubled between 1980 and 2016, less than 10% held significant positions (e.g., professor)[2]. In Japan, discriminatory admission practices in several medical schools were publicized in 2018, revealing [...]

Background: Advances in complex congenital cardiac care have promoted the survival of greater than 90% of pediatric patients. As adults with congenital heart disease (ACHD) have lifespans approaching that of the general population, there is a growing call to understand the experience of living with this childhood-onset chronic condition. Hospitalists are often the primary inpatient [...]