title: The Maryland patient plan of care form: perceptions of physicians and social workers.
abstract: OBJECTIVE
  To assess nursing home physicians' and social workers' perceptions of the new Maryland Patient Plan of Care Form (PPOC).
  
  
  METHODS
  Mailed survey.
  
  
  METHODS
  Nursing homes in Maryland.
  
  
  METHODS
  Thirty-seven physicians and 60 social workers.
  
  
  METHODS
  Views of physicians and social workers were assessed through quantitative questions about the use of the PPOC form and qualitative questions about barriers in completing the form and recommendations to improve the form.
  
  
  RESULTS
  The majority (79.2%) of physicians and social workers reported that completing the PPOC is somewhat of a major burden. An overwhelming majority (85.6%) reported that social workers are completing the form, while close to half of the physicians and a quarter of the social work respondents say that physicians are involved in completing the form. Moreover, significantly more social workers (63.3%) than physicians (36.7%) believe the form would be more useful as a physician's order (X(2) = 5.287; d f = 1; P = .021). Both physicians and social workers identify barriers to completing the form and offer recommendations to improve the form.
  
  
  CONCLUSIONS
  Despite legislation requiring physicians to sign the PPOC, it is not a physician's order, thus shifting the burden of completing the PPOC to social workers. We conclude that most physicians and social workers view the PPOC as burdensome and do not feel that it is useful, but whether it is having an effect on patient care preferences merits further investigation.
authors.affiliation: Hebrew Home of Greater Washington, Research Institute on Aging, Rockville, MD 20852, USA. aje@hebrew-home.org
authors.forename: Rene P
authors.initials: RP
authors.lastname: Laje
authors.forename: Gary B
authors.initials: GB
authors.lastname: Wilks
authors.forename: Marcia
authors.initials: M
authors.lastname: Marx
authors.forename: Jiska
authors.initials: J
authors.lastname: Cohen-Mansfield
mesh_terms: D000328:Adult; D032722:Advance Care Planning / Q000331:legislation & jurisprudence*; D001291:Attitude of Health Personnel; D004282:Documentation; D005260:Female; D006801:Humans; D008297:Male; D008396:Maryland; D008875:Middle Aged; D009735:Nursing Homes; D010820:Physicians; D012947:Social Work; D011795:Surveys and Questionnaires; D016526:Workload