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Editor's Correspondence
August 9/23, 2010

The Physician’s Role in Nursing Homes: The Dutch Solution

Author Affiliations

Author Affiliations: Department of Primary and Community Care, Centre for Family Medicine, Geriatric Care and Public Health, Radboud University Nijmegen, Medical Centre, the Netherlands.


Copyright 2010 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2010

Arch Intern Med. 2010;170(15):1406-1407. doi:10.1001/archinternmed.2010.278

We read with great interest the article by Johnson1 on the physician's role in changing the culture of nursing homes. However, we were surprised that the author did not point at the Dutch situation, where specialty training for nursing home physicians has existed since 1990.2 Over the past 20 years, the Netherlands has developed unique working methods, based on the Chronic Care Model ( Dutch nursing home physicians are employed by the nursing home. One full-time physician has the treatment responsibility for 100 residents and applies all aspects of medical care that Johnson1 describes.

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