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- W4238910122 abstract "There is an ongoing public debate on the perceived lack of quality care in many nursing facilities and the best means for improvement. Suggested solutions include improving reimbursement, mandating staffing levels, implementing practice guidelines and other care processes, reducing the regulatory burden, increasing the use of managed care, and much more. 1 Wunderlich GS, Kohler P, eds. Improving the Quality of Long-Term Care. Institute of Medicine 2001. National Academy Press, Washington DC Google Scholar , 2 Kane RL Improving the quality of nursing facility care. J Am Geriatr Soc. 1998; 46: 232-237 PubMed Google Scholar Little research has been done on the relationship between physician involvement and quality of care in nursing facilities. Recent literature suggests that quality of care in various settings, including nursing facilities, is related to physician involvement and physician staffing patterns. 3 Pronvost PJ Angus DC Dorman T et al. Physician staffing patterns and clinical outcomes in critically ill patients. JAMA. 2002; 288: 2151-2162 Crossref PubMed Scopus (1105) Google Scholar , 4 Karuza J Katz P Physician staffing patterns correlates of nursing facility care: An initial inquiry and consideration of policy implications. J Am Geriatr Soc. 1994; 42: 787-793 Crossref PubMed Scopus (47) Google Scholar , 5 Moore S Martelle MB Alternative Models of Ensuring Access to Primary Medical Care in Nursing Facilities Demonstration Project, July 1, 1992–March 31, 1996. State of New York, Department of Health, Albany, NYApril 9, 1996 Google Scholar , 6 Katz PR Karuza J The pros and cons of closed physician staffs. Nurs Home Pract. November/December 1993; : 25-26 Google Scholar The Committee on Improving Quality in Long-Term Care of the Institute of Medicine believes that “nursing homes should…enable and require a more focused and dedicated medical staff” as part of the solution for improving quality. 1 Wunderlich GS, Kohler P, eds. Improving the Quality of Long-Term Care. Institute of Medicine 2001. National Academy Press, Washington DC Google Scholar The American Medical Directors Association (AMDA) has always maintained that physician involvement in long-term care is essential to the delivery of quality care. 7 American Medical Directors Association. Role of the Attending Physician in the Nursing Facility. Columbia, MD 1991, revised 2002. Google Scholar" @default.
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- W4238910122 date "2003-07-01" @default.
- W4238910122 modified "2023-09-26" @default.
- W4238910122 title "Roles and Responsibilities of Attending Physicians in Skilled Nursing Facilities" @default.
- W4238910122 doi "https://doi.org/10.1097/01.jam.0000075915.15039.b1" @default.
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