Growth of Skilled Nursing Facility Specialists: Navigating Between What Is Ideal and What Is Practical | Geriatrics | JAMA Internal Medicine | JAMA Network
[Skip to Navigation]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 18.207.108.182. Please contact the publisher to request reinstatement.
[Skip to Navigation Landing]
Views 3,237
Citations 0
Editor's Note
September 2017

Growth of Skilled Nursing Facility Specialists: Navigating Between What Is Ideal and What Is Practical

Author Affiliations
  • 1Los Angeles County Department of Health Services, Los Angeles, California
JAMA Intern Med. 2017;177(9):1378. doi:10.1001/jamainternmed.2017.2151

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.

×