Teaching nursing homes revisited. Survey of affiliations between American medical schools and long-term-care facilities

Schneider, Eckbert

doi:10.1001/jama.257.20.2771

Cited by 10 publications

(9 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While the data from this study are derived from only one academic institution, the economic viability of a nursing home practice is of importance to other academic medical centers. A recent survey found that of 121 responding medical schools, 101 had teaching programs involving a nursing home and 70 had resident physicians involved in nursing home care 4 . Of those with mandatory educational programs for residents, family medicine (35 medical schools) and internal medicine (28 schools) were most commonly included.…”

Section: Discussionmentioning

confidence: 99%

The Financial Impact of a Nursing Home Practice on an Academic Medical Center

Zweig

Lawhorne

Colwill

1991

J American Geriatrics Society

View full text Add to dashboard Cite

This study reports the economic contributions of nursing home practice to an academic department of family practice as well as the fiscal impact of referrals from nursing home practice on an academic medical center. Payment to primary physician faculty for nursing home service did not fully compensate for faculty effort. Nevertheless, these services did result in significant revenues to consulting physicians and the University Hospital. In aggregate, an average nursing home visit was associated with $33 in charges for the visit by the primary physician, $15 for additional primary care services in the clinic and hospital, $72 for services by consulting physicians, and $307 in charges by the University Hospital. The average nursing home patient provided $3,744 in charges and $2,403 in income to the academic medical center per year, with $1,813 going to the hospital and $331 to consulting physicians. Even though primary care is not well reimbursed, a relatively small number of patients have the capacity to create substantial income for consulting physicians and the hospital. The study does not address whether these nursing home referrals to the hospital utilized disproportionately high hospital resources.

show abstract

Section: Discussionmentioning

confidence: 99%

The Financial Impact of a Nursing Home Practice on an Academic Medical Center

Zweig

Lawhorne

Colwill

1991

J American Geriatrics Society

View full text Add to dashboard Cite

show abstract

“…This collaboration between nursing homes and 11 different nursing programs was specifically intended to upgrade the clinical care in nursing homes by placing advanced practice nurse faculty in the homes, create an environment supportive of education, and promote clinical research. This important initiative brought awareness of the need for innovative solutions for geriatric education and care . It was found to improve care in nursing homes and, at the same time, improve the geriatric curriculum in schools of nursing .…”

Section: Defining and Refining The Specialty And Preparation For Pracmentioning

confidence: 99%

“…Although the foundation did not continue this program, it set the course for improving the standards and quality of care by nurses in nursing homes. The National Institute on Aging (NIA) program for medical schools for the teaching of geriatric medicine later adapted the Teaching Nursing Home Initiative . This important initiative brought awareness to the need for innovative solutions for geriatric education and care …”

Section: Defining and Refining The Specialty And Preparation For Pracmentioning

confidence: 99%

Geriatric Nursing 2.0!

Fulmer

2015

J American Geriatrics Society

View full text Add to dashboard Cite

“…A large proprietary NH chain has developed a variety of “teaching nursing home” programs to educate health‐care professionals; these programs include on‐site continuing medical education programs and in‐service education originating in universities or health departments 16 . A majority of U.S. medical schools, responding to the great need for physicians trained in geriatrics, have established affiliations in recent years with NHs for teaching and research purposes 17 . Some programs have undergone further development; others have foundered.…”

mentioning

confidence: 99%

Growth of the Teaching Nursing Home

Rubenstein¹,

Wieland²,

Pearlman³

et al. 1990

J American Geriatrics Society

View full text Add to dashboard Cite

Nursing homes are becoming increasingly involved with medical education, and the Veterans Administration (VA) has been particularly active in this movement. We conducted a system-wide survey of VA nursing home facilities to determine the degree to which they participate in medical and other professional training and the features associated with such training. Of the 116 VA nursing homes in 1987, 113 (97.4%) returned completed questionnaires. Compared to "standard" VA facilities (n = 85), "teaching" nursing homes (n = 28)--those in which physicians received at least 20 hours of training per capita annually--were significantly larger, admitted and discharged significantly more patients per occupied bed, and placed a significantly larger proportion of discharged patients in noninstitutional community settings. Care costs in the teaching nursing homes were slightly but not significantly higher, despite significant increases in levels of professional staffing and amounts of training activities in all disciplines. During the survey year, teaching nursing homes provided training experiences for 440 students, residents, and fellows in internal and rehabilitation medicine, as well as for 2,700 other health professionals. The growth of teaching nursing homes in the VA system appears to be associated with positive changes in the pattern of health-care delivery, and it is increasing the number of health-care professionals trained in long-term care.

show abstract

Teaching nursing homes revisited. Survey of affiliations between American medical schools and long-term-care facilities

Cited by 10 publications

References 0 publications

The Financial Impact of a Nursing Home Practice on an Academic Medical Center

The Financial Impact of a Nursing Home Practice on an Academic Medical Center

Geriatric Nursing 2.0!

Growth of the Teaching Nursing Home

Contact Info

Product

Resources

About