Breitenbucher R B, Schultz A L
Ann Intern Med. 1983 Jan;98(1):96-100. doi: 10.7326/0003-4819-98-1-96.
A continuity care program for patients in nursing homes using internal medicine residents in training has been developed in a county teaching hospital. Resident physicians on a paid basis assume primary care responsibility for 1000 patients in 29 private community nursing homes. A faculty internist coordinates the activities of the residents and monitors patient care through an extended care office in the county hospital. The program has produced a significant upgrading of the continuity and quality of care of patients in these nursing homes as well as providing medical residents with geriatric and nursing home experience. The increased sensitivity and concern for the needs of nursing home patients developed by the medical residents seems to continue after they complete their training.
一家县教学医院为养老院患者开发了一个连续性护理项目，该项目利用内科住院医师进行培训。带薪住院医师负责29家私立社区养老院中1000名患者的初级护理。一名内科教员通过县医院的延伸护理办公室协调住院医师的活动并监督患者护理。该项目显著提升了这些养老院患者护理的连续性和质量，同时也为住院医师提供了老年医学和养老院护理经验。住院医师对养老院患者需求的敏感度和关注度提高，这种情况在他们完成培训后似乎仍在持续。
