Commentary: The physician's role in nursing home quality of care: focus on restraints.
The physician can play an important role in managing high-risk nursing home residents without restraints and working with interdisciplinary care teams in comprehensive fall evaluations. A reduction or elimination of physical restraints can be measured for a facility over time, and it represents a relevant quality indicator of physician and facility interactions during the process of care. We discuss how the physician's role fits into this quality of care equation for nursing homes and its implications for new clinical, research, and policy directions for long-term care.
Caprio
Thomas V
TV
Geriatrics/Aging Division, University of Rochester Medical Center, Monroe Community Hospital, New York 14620, USA. thomas_caprio@urmc.rochester.edu
Katz
Paul R
PR
Karuza
Jurgis
J
D000368:Aged; D006282:Health Personnel / Q000458:organization & administration; D006707:Homes for the Aged / Q000458:organization & administration*; D006801:Humans; D009735:Nursing Homes / Q000458:organization & administration*; D010819:Physician's Role; D011787:Quality of Health Care / Q000458:organization & administration*; D012149:Restraint, Physical / Q000706:statistics & numerical data*