ERIC Number: ED180374
Record Type: RIE
Publication Date: 1979-Aug
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)
Descriptors: Comparative Analysis, Compliance (Legal), Federal Regulation, Geriatrics, Health Facilities, Health Personnel, Health Services, Laws, Medical Services, Nursing Homes, Older Adults, Physicians, Residential Care, Statistical Analysis
NCHSR, Publications and Information Branch, Room 7-44, 3700 East-West Highway, Hyattsville, MD 20782
Publication Type: Reports - Research
Education Level: N/A
Sponsor: National Center for Health Services Research (DHEW/PHS), Hyattsville, MD.
Authoring Institution: Pittsburgh Univ., PA. Graduate School of Public Health.