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ERIC Number: ED180374
Record Type: RIE
Publication Date: 1979-Aug
Pages: 76
Abstractor: N/A
Reference Count: 0
Medical Direction in Skilled Nursing Facilities. NCHSR Research Summary Series.
Ricci, Edmund; Tessaro, Edward
Regulations instituted by the Department of Health, Education, and Welfare effective in 1976 require skilled nursing facilities (SNF) to provide either a physician serving as medical director, or to have an organized medical staff. This report describes how SNFs responded, and what the effects were on their operations. Descriptive data were obtained: (1) indicating the extent to which SNFs fulfilled the requirement, the methods used, and the characteristics of facilities that were unable to comply; (2) characterizing physician, medical directors and their activities; and (3) identifying and describing arrangements for medical direction. A mail/telephone survey was conducted to provide national descriptive data on how SNFs provide medical direction. Site visits were made to 21 facilities to explore--with the administrator, medical director, and nursing director--the behavioral aspects of the implementation of medical direction. Findings suggest that the vast majority of SNFs have provided some form of medical direction; that there has been limited variation in the arrangements for medical direction; that there are a number of barriers to the implementation of this concept; and that the potential exists for the concept of medical direction to be an effective force in improving patient care. (Author/SF)
NCHSR, Publications and Information Branch, Room 7-44, 3700 East-West Highway, Hyattsville, MD 20782
Publication Type: Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: National Center for Health Services Research (DHEW/PHS), Hyattsville, MD.
Authoring Institution: Pittsburgh Univ., PA. Graduate School of Public Health.