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Physicians and nursing home care

T R Brooks1

  • 1King/Drew Medical Center, Los Angeles, California, USA.

Journal of the National Medical Association
|June 26, 1998
PubMed
Summary
This summary is machine-generated.

Many physicians avoid nursing home patients due to the unique challenges of long-term geriatric care. This study explores the specific reasons behind physician reluctance to treat elderly individuals in nursing homes.

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Area of Science:

  • Geriatrics
  • Healthcare Management
  • Medical Ethics

Background:

  • Physician involvement in nursing home care has historically been limited.
  • Physician absence from nursing homes increased following Medicare and Medicaid legislation in the 1960s.
  • A significant percentage of private physicians, including those specializing in geriatrics, do not serve nursing home residents.

Purpose of the Study:

  • To investigate the barriers and reasons for physician hesitation or refusal to care for nursing home patients.
  • To understand the challenges associated with long-term care for institutionalized elderly individuals.

Main Methods:

  • Qualitative study exploring physician perspectives.
  • Focus on physicians in the Los Angeles area.

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Main Results:

  • Physicians cite daunting challenges in long-term institutionalized geriatric care.
  • Many physicians, even those with elderly patient populations, hesitate to engage with nursing home residents.

Conclusions:

  • Physician reluctance to care for nursing home residents stems from perceived difficulties in long-term geriatric care.
  • Addressing these challenges is crucial for improving care for institutionalized older adults.