It may be a hospitalist model that the hospital uses which means all in hospital care is done by doctors hired inhouse and paid by the hospital. Specialists may be called in but many hospitals have done away with the private physician with admitting privileges model. The hospitals were losing too much money and getting the blame for the private physicians mistakes and arbitrary billing of the patients. Patients get a “billing one stop shop” other than the specialists that may have to be called in. The major hospitals are now hiring doctors’ groups under contract to provide certain trauma,general surgery, and intensivist services for critical care and the hospitals handle the billing for these groups.
Most private and family practice doctors in many areas see no patients in hospital anymore. So the upper hospital management dictates top down what their own employed hospitalists may do; private physicians may be called for more info by these inhouse-doctors but they aren’t under any obligation to follow the private physicians’ advice. Many hospitalists may agree in private principle concerning ivermectin(and many reportedly take it on the sly) but they can’t go against their upper managements’ policies for patient care.
Thank you for the edumacation! So that’s what has happened to medicine in the twenty years I’ve been out of it!
*** It may be a hospitalist model that the hospital uses which means all in hospital care is done by doctors hired inhouse and paid by the hospital. ***
My local hospital uses the hospitalist model. I wasn’t exactly thrilled when I looked up the medical schools some of the in hospital docs graduated from. Aruba, Barbados..etc.