Nursing home culture discourages physician involvement.

摘要

In her excellent recent editorial, Johnson describes the vital role of the physician in changing the culture of nursing homes in a positive direction. The problem is that, in recent history, it has been very difficult in many places to entice physicians to become and remain involved, as either medical directors or attending physicians, in providing medical care to nursing home residents. In a research project a several years ago, I tried to identify some of the explanations for the complex "missing in action