Customize your JAMA Network experience by selecting one or more topics from the list below.
In an ideal world, primary care physicians would follow their patients from the office to the hospital and to the nursing home. This would improve continuity of care and increase the chances that the patients’ preferences, generally better known by the primary care clinician than a new clinician, are respected; additional specialty referrals can always be obtained when needed.
However, in the real world, primary care physicians are seeing office patients every 20 minutes, following up on laboratory tests, reconciling medications, filling out forms, returning telephone calls, and often leading a team of other clinicians. In areas where there are many hospitals and/or nursing homes, a primary care physician might have patients in multiple locations, making daily visits unfeasible.
Katz MH. Growth of Skilled Nursing Facility Specialists: Navigating Between What Is Ideal and What Is Practical. JAMA Intern Med. 2017;177(9):1378. doi:10.1001/jamainternmed.2017.2151
Create a personal account or sign in to: