Birkett D P
Aged Care Serv Rev. 1980;2(3):1, 14-23.
The place of the medical director in the acute care general hospital is discussed. The federal legislation mandating medical directors for nursing homes is summarized, and is criticized for being too closely based on acute care general hospital models. Descriptive writing about the medical director's role are reviewed, and also quantified surveys. It is suggested that an educational and consultative role is most suitable. There is doubt about the ability of the medical director to control and supervise medical staff. His/her ability to control quality of care is also dubious.
本文讨论了医疗主任在综合急症医院中的地位。总结了要求疗养院设立医疗主任的联邦立法,并批评该立法过于紧密地基于综合急症医院模式。回顾了关于医疗主任角色的描述性文章以及量化调查。建议医疗主任最适合扮演教育和咨询角色。人们对医疗主任控制和监督医务人员的能力表示怀疑。其控制医疗质量的能力也值得怀疑。