Nursing Home Medical Directors: Ideals and Realities

Zimmer, James G.; PhD, RN Nancy M. Watson; Levenson, Steven A.

doi:10.1111/j.1532-5415.1993.tb02045.x

Cited by 21 publications

(2 citation statements)

References 9 publications

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“…Few nursing homes have full-time physicians (Institute of Medicine, 2000). Indeed, medical directors spend less than 1.5 minutes per resident per day (Fortinsky & Raff, 1996) and are available little more than 3 hours a week in a facility (Zimmer, Watson, & Levenson, 1993). Most medical directors are not experts on mental health issues, and often they treat only the most gross psychiatric manifestations.…”

Section: Inadequate Care and Lack Of Training For Medical And Nonmedi...mentioning

confidence: 99%

Nursing homes as primary care sites for psychological practice.

Molinari¹

2003

Clinical Psychology: Science and Practice

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Speer and Schneider (2003; this issue) reviewed the literature on the mental health needs of older adults in primary care sites. Their conclusions are especially salient for the nontraditional nursing home primary care setting. Health care providers in nursing homes must routinely address multiple psychiatric and medical comorbidities. Most nursing home medical directors have limited training in psychological issues resulting in few mental health referrals. Psychologists have sparse research findings to guide their practice due to lack of inclusion of nursing home residents in research studies. The need to implement a multidisciplinary approach is essential in nursing home primary care settings.

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Section: Inadequate Care and Lack Of Training For Medical And Nonmedi...mentioning

confidence: 99%

Nursing homes as primary care sites for psychological practice.

Molinari¹

2003

Clinical Psychology: Science and Practice

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“…One study of 50 nursing homes in Texas indicated that 28% of medical directors received no reimbursement for medical direction, and the mean monthly earnings was $345.00 1 . Another study of 45 nursing homes in upstate New York showed that the self‐reported time spent on medical direction activities averaged 12 hours per month, with 45% of medical directors spending 8 hours or less per month on this function 2 …”

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confidence: 99%