Physician Care in Nursing Homes
Authors: DAVID L. RABIN
Journal: Annals of Internal Medicine (1981)

Editorials1 January 1981Physician Care in Nursing HomesDAVID L. RABIN, M.D., M.P.H.DAVID L. RABIN, M.D., M.P.H.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-94-1-126 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe costs and quality of care for the aged in nursing homes have become matters of great national concern. The concern for costs is understandable. Nearly 30% of the nation's health care bill is accounted for by 11 % of the population who are over 65. In 1977, 23% of health care costs for the elderly were nursing home costs; over half this cost came from public funds. About 5% of persons 65 and over are in nursing homes (1 112 000 persons), and projections from current trends to the year 2000 indicate that the aged nursing home population will...References1. SOLON J and GREENWALT L. Physicians' participation in nursing homes. Med Care. 1974; 12:486. CrossrefMedlineGoogle Scholar2. . Aging and Medical Education. Washington, D.C.: National Academy of Sciences; 1978. Google Scholar3. . Physicans' Drug Prescribing Patterns in Skilled Nursing Facilities. Rockville Maryland: U. S. Public Health Service; 1976. (Long Term Care Facility Improvement Campaign, Monograph, no. 2.) (DHEW publication no [OS]76-50050.) Google Scholar4. . Nursing Home Care in the United States: Failure in Public Policy. Washington, D.C.: U. S. Government Printing Office; 1975. (Supporting paper no. 2. Drugs in nursing homes: misuse, high costs, and kickbacks. ) Google Scholar5. BURNEY I, SCHIEBER G, BLAXALI M, and GABEL J. Medicare and Medicaid physican payment incentives. Health Care Financing Rev. 1979;1:62-78. MedlineGoogle Scholar6. . Nursing Homes in the United States: 1973-74: National Nursing Home Survey. Rockville, Maryland: National Center for Health Statistics; 1977. (Vital and health statistics. Series 14: Data from the National Health Survey, no. 17.) (DHEW publication no. [HRA]78-1812.) Google Scholar7. KANE R and KANE R. Care of the aged: old problems in need of new solutions. Science. 1978;200:913-9. CrossrefMedlineGoogle Scholar8. . Alternatives to nursing home care for the frail elderly: an international symposium, Part I. Gerontologist. 1980;20:350-87. MedlineGoogle Scholar9. WEISSERT W. Encouraging Appropriate Care for Chronically Ill Elderly: A Controlled Experiment to Evaluate the Impact of Incentive Payments on Nursing Home Admissions, Discharges, Case Mix, Care Outcomes, and Cost. Hyattsville, Maryland: National Center for Health Services; 1980. (Briefing Book, National Center for Health Services Research Mimeograph.) Google Scholar10. . National long-term care channeling demonstration program: intent to initiate program. Fed Register. 1979;44:75720-3. Google Scholar11. . Conditions of participation for skilled nursing and intermediate care facilities. Washington, D.C.: Department of Health and Human Services; 1980. (Federal Register, part III, Vol. 45, No. 136.) (FR Doc. 80-20953.) Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: DAVID L. RABIN, M.D., M.P.H. 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