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Nursing home physicians discuss caring for elderly residents
 — an exploratory study
Author(s)Albert Banerjee, Robert James, Margaret McGregor, Joel Lexchin
Journal titleCanadian Journal on Aging, vol 37, no 2, June 2018
PublisherCambridge University Press, June 2018
Pagespp 133-144
Sourcehttp://www.cambridge.org/cjg
KeywordsNursing homes ; Doctors ; Medical care ; Evaluation ; International ; Cross national surveys.
AnnotationDespite the increasing complexity of nursing home care the role of physicians caring for residents is largely unexplored. This international, exploratory study sought to learn about physicians' roles, responsibilities and tasks as well as investigate the unique qualities of medical practice in nursing homes. This was part of a larger international study of promising practices in nursing homes across six countries, namely Canada, Germany, Norway, Sweden, the United Kingdom and the USA. The authors conducted interviews with 18 physicians who reported making important contributions to the quality of resident care including clarifying the goals of care, working to reduce unnecessary medication and hospitalisation as well as contributing to staff education. Nursing home practice involved physicians in networks of relations that were instrumental to the quality of medical care and physicians' job satisfaction. It was found that the importance of these relationships disrupts the oft-drawn boundary between the medical and the social, suggesting that good medical practice depends on good social practice. Reflecting the exploratory nature of the study, the authors recommend research to better understand and support the relational dimensions of nursing home medicine. (JL).
Accession NumberCPA-180525241 A
ClassmarkLHB: QT2: LK: 4C: 72: 3K

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