Are hospitalists becoming de facto PCPs for patients with complex illness?

Are hospitalists becoming de facto PCPs for patients with complex illness? 
Today's Hospitalist; by Colleen Peggenburg, MD, MS; April 2025 
Key takeaways:

• Hospitalists are becoming primary physicians for patients in decline.
• Hospitals are the new “clinic” for patients with complex illness.
• Hospitalists are increasingly initiating discussions about patients’ values and goals.

... As patients become more complex, they are like a car that keeps hurtling toward a brick wall. Every time a patient requires a specialist for a complex illness, the car picks up speed. But as more medical providers become involved, fewer reveal to patients the brick wall that lies ahead. Instead, that discussion has become the “hot potato” in medicine. Every provider who could discuss disease progression and prognosis seems to think that someone else should initiate the discussion. ... [Continue reading ...]