Some dynamics of change in the organization and management of physician services in long term care facilities.
It is the director of nursing service/administrator relationship, the cornerstone of the nursing home care program, which Mr. Mico believes is central to effecting medical care "changes." The medical director, a new position in most skilled nursing facilities, should not be introduced without considering organizational structure and the dynamics of change.
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D000288:Administrative Personnel; D007400:Interprofessional Relations; D008134:Long-Term Care / Q000458:organization & administration; D008503:Medical Staff; D008962:Models, Theoretical; D009735:Nursing Homes; D009740:Nursing Staff / Q000458:organization & administration*; D009934:Organization and Administration; D008486:Physician Executives; D012866:Skilled Nursing Facilities / Q000458:organization & administration*; D012922:Social Change; D014481:United States