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Academia and the Profession |

Extended Care in Nursing Homes: A Program for a County Teaching Medical Center

ROBERT B. BREITENBUCHER, M.D.; and ALVIN L. SCHULTZ, M.D.
[+] Article and Author Information

▸Requests for reprints should be addressed to Robert B. Breitenbucher, M.D.; Department of Medicine, Hennepin County Medical Center, 701 Park Avenue; Minneapolis, MN 55415.


Minneapolis, Minnesota


©1983 American College of PhysiciansAmerican College of Physicians


Ann Intern Med. 1983;98(1):96-100. doi:10.7326/0003-4819-98-1-96
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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.

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