The Nursing Home Medical Director

Fanale, James E.

doi:10.1111/j.1532-5415.1989.tb05507.x

Cited by 9 publications

(3 citation statements)

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“…The position of the nursing home medical director was created in the 1970's as a means of improving physician participation and enhancing the quality of medical care delivered to nursing home residents 9 . Federal regulations published in 1974 required that every skilled nursing facility (SNF) retain a full‐ or part‐time medical director, 1 and as of 1990 all nursing facilities are required under federal standards to have a medical director 2…”

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confidence: 99%

The Nursing Home Medical Director Role in Transition

Elon

1993

J American Geriatrics Society

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The Nursing Home Medical Director Role in Transition

Elon

1993

J American Geriatrics Society

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“…Despite this policy interest, there has been little empirical research exploring the activities of medical administrators in long-term care facilities. With a few exceptions (McKibbin, 1978;Elon, 1993) most of the articles focusing on this issue have been largely advocacy in nature and relied on opinion analysis rather than empirical assessment (Solon, 1963;Mark, 1968;Miller, Brimigion, & Keller 1972;Isack, 1973;Miller, Keller, & Woodruff, 1974;Tessaro, 1974;Moss, 1975;Lawson, 1976;Miller, Lovenstein, & Winston, 1976;Miller, 1976;American Medical Association, 1977;Brimigion & Feldman, 1977;Pattee, 1980Pattee, ,1983Collins, 1982;Mitchell, 1982;Mitchell & Hewes, 1986;Bladek, 1989;Fanale, 1989;Levenson, 1989;Ouslander, 1989). Further, although various guidelines have articulated what are thought to be key functions of the medical administrative role, few studies have explored empirically the extent to which guidelines are adhered to in practice.…”

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The Medical Administrative Role of Medical Directors and Advisory Physicians in Ontario Nursing Homes and Homes for the Aged

1995

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A self-administered mailed questionnaire was sent to a stratified random sample of medical administrators in Ontario homes for the aged (HFAs) and nursing homes (NHs) in 1991 in order to explore the types and extent of medical-administrative activities undertaken by these physicians, and their perceptions of skills, attitudes and knowledge that were important in carrying out their roles. Three key findings emerged from the survey. First, considerable variation exists in the extent of medical administrative activities undertaken within each of the two facility types and, in some cases, across the two facility types. Second, there were few activities which ≥75 per cent of medical administrators reported undertaking on all occasions and many activities which ≥25 per cent of physicians reported not undertaking on any occasion. Third, in general, medical administrators did not express values congruent with adoption of a broader management role in facility administration, financing, and planning activities. Research and policy implications for the evolving role of medical administrators in NHs and HFAs are discussed.

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“…Lack of physician interest in the care of elderly and chronically ill patients in such facilities has long been documented 1 – 8 and is often either deplored or excused by reference to fiscal constraints and burdensome regulations. A number of serious efforts have been undertaken by regulators and by those in the long‐term care field to identify and describe the activities which should be assigned to medical directors 9 – 14 …”

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