Pattee J J
University of Minnesota Medical School, Department of Family Practice and Community Health, Minneapolis, USA.
Clin Geriatr Med. 1995 Aug;11(3):331-41.
Federal regulations that were published in 1974 required a physician to be employed full or part time as the medical directory by a skilled nursing facilities. Negotiation was needed in each facility to reconcile the traditional role of the physician who care for individual patients with the new role of the physician who would be involved in decisions regarding the care of groups of residents. Professional and provider organizations attempted to define the new role, which developed through experience, networking, and educational opportunities. A consensus conference held in January 1988 identified the functions and tasks associated with medical direction, and, subsequently, educational opportunities focusing on the competencies associated with performing these tasks and functions were developed. This article traces the history and evolution of the formalization of the medical director's role.
1974年发布的联邦法规要求，医生必须全职或兼职受雇于专业护理机构担任医疗主任。每个机构都需要进行协商，以协调负责照顾个体患者的医生的传统角色与参与居民群体护理决策的医生的新角色。专业组织和服务提供商试图界定这一新角色，该角色通过经验、网络和教育机会得以发展。1988年1月召开的一次共识会议确定了与医疗指导相关的职能和任务，随后，针对履行这些任务和职能所需能力的教育机会也得以开发。本文追溯了医疗主任角色正式确立的历史与演变。
