Keenan J M, Hepburn K W
Department of Family Practice and Community Health, University of Minnesota, Minneapolis.
Clin Geriatr Med. 1991 Nov;7(4):665-75.
Physician involvement in home care has declined markedly over the past 50 years. By contrast, the renaissance in home care in the US over the last decade has created a pressing need for greater physician participation and new roles for physicians as members of the home care team. This article reviews these developments and identifies the need for improved medical education and physician reimbursement if the desired physician involvement in home care is to become a reality.
在过去50年里,医生参与家庭护理的情况显著减少。相比之下,美国近十年来家庭护理的复兴使得迫切需要医生更多地参与其中,并为医生作为家庭护理团队成员创造新的角色。本文回顾了这些发展情况,并指出如果期望医生对家庭护理的参与成为现实,就需要改进医学教育并改善医生的报销政策。