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Joseph G. Ouslander, MD

JAMA. 1989;262(18):2582-2590.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

EVERY day more than 1.5 million Americans awaken in 1 of close to 20 000 nursing homes.¹ Some of these facilities provide excellent care, but the poor quality of care provided by many nursing homes has been repeatedly documented in the lay press, medical literature, and congressional testimony (Los Angeles Times. February 17, 1989; pt 1:3).^2-4 While the problems of many nursing home residents are more functional and psychosocial than medical,^1,5 the increasing acuity of medical conditions in this population since the implementation of the prospective payment system^6,7 demands that physicians be intimately involved in care provided in nursing homes. Yet, the majority of primary care physicians do not participate in the care of nursing home residents,⁸ and very few of those who do provide care for substantial numbers of nursing home residents have received formal training in geriatric medicine or long-term care. Physician visits . . . [Full Text PDF of this Article]

Author Affiliations
From the Victory Village, Jewish Homes for the Aging of Greater Los Angeles, Reseda, Calif, and the Multicampus Division of Geriatric Medicine and Gerontology, UCLA School of Medicine, Los Angeles, Calif.

Footnotes
Reprint requests to Jewish Homes for the Aging of Greater Los Angeles, 18855 Victory Blvd, Reseda, CA 91335 (Dr Ouslander).

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