Revisiting the Role of Physicians in Assisted Living and Residential Care Settings.
Revisiting the Role of Physicians in Assisted Living and Residential Care Settings.
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DOI：
10.1177/2333721420979840
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发表时间：
2020-01
影响因子：
2.7
通讯作者：
Carder P
中科院分区：
文献类型：
--
作者：
Dys S;Smith L;Tunalilar O;Carder P
随着美国人口老龄化，越来越多的成年人可能会使用长期服务和支持。这种变化增加了医生对辅助生活和住宿护理（AL/RC）设置信息的需求，这些设置为老年人提供支持性护理和住房。与熟练的护理机构不同，各州通过州机构执行的不同许可证要求来规范AL/RC设置，从而导致医疗和护理服务的可用性存在差异。在一些机构提供有限的熟练护理的地方，在其他地方，居民依靠住院护理协调员或他们自己的医生来监督慢性病，药物和治疗。以下叙述性回顾描述了医生可能与AL/RC操作员、工作人员和住院医生互动的关键护理过程，包括护理计划、阿尔茨海默病和相关病症的管理、药物管理和临终计划。医生和人工智能/RC操作员之间的沟通和协作是护理管理的重要组成部分。
As the United States population ages, a higher share of adults is likely to use long-term services and supports. This change increases physicians’ need for information about assisted living and residential care (AL/RC) settings, which provide supportive care and housing to older adults. Unlike skilled nursing facilities, states regulate AL/RC settings through varying licensure requirements enforced by state agencies, resulting in differences in the availability of medical and nursing services. Where some settings provide limited skilled nursing care, in others, residents rely on resident care coordinators, or their own physicians to oversee chronic conditions, medications, and treatments. The following narrative review describes key processes of care where physicians may interact with AL/RC operators, staff, and residents, including care planning, managing Alzheimer’s disease and related conditions, medication management, and end-of-life planning. Communication and collaboration between physicians and AL/RC operators are a crucial component of care management.