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. 1997 May;45(5):627-32.
doi: 10.1111/j.1532-5415.1997.tb03100.x.

Efforts to improve primary care delivery to nursing home residents

T Fama  1 , P D Fox
Affiliations

Efforts to improve primary care delivery to nursing home residents

T Fama et al. J Am Geriatr Soc. 1997 May.

Abstract

Objective: To describe a primary care practice model used by health maintenance organizations (HMOs) that serve medicare beneficiaries to improve the provision of primary care to nursing home residents.

Participants: Medicare beneficiaries who reside in nursing homes and who are enrolled in HMOs.

Conclusion: Several HMOs are using physician-nurse practitioner teams to provide primary care to nursing home residents. The potential to improve the delivery of these services in nursing homes, particularly to long-stay residents, is apparent. However, obstacles arise in developing this practice model in HMOs, including difficulty recruiting both nurse practitioners and physicians and the lack of HMO-based research on the effects of such a model.

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Comment in

  • Managed care: good medicine for old people?
    Reuben DB. Reuben DB. J Am Geriatr Soc. 1997 May;45(5):643-4. doi: 10.1111/j.1532-5415.1997.tb03104.x. J Am Geriatr Soc. 1997. PMID: 9158593 No abstract available.
  • Primary care.
    McCartney RD, McCartney BJ. McCartney RD, et al. J Am Geriatr Soc. 1998 Mar;46(3):393-4. doi: 10.1111/j.1532-5415.1998.tb01063.x. J Am Geriatr Soc. 1998. PMID: 9514396 No abstract available.

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