@article{
 title = {Medical staff involvement in nursing homes: development of a conceptual model and research agenda},
 type = {article},
 year = {2014},
 identifiers = {[object Object]},
 keywords = {nursing home medical staff,organizational structure,outcomes of resident care,processes of nursing home care},
 pages = {75-96},
 volume = {33},
 websites = {http://login.ezproxy.library.ualberta.ca/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=cmedm&AN=24652944&site=ehost-live&scope=site},
 publisher = {Sage Publications for the Southern Gerontological Society},
 city = {Health Services, Policy & Practice, Brown University, Providence, RI, USA.},
 id = {5c8be218-b63e-3285-b7a1-d5f7d316314e},
 created = {2016-08-20T16:55:39.000Z},
 file_attached = {false},
 profile_id = {217ced55-4c79-38dc-838b-4b5ea8df5597},
 group_id = {408d37d9-5f1b-3398-a9f5-5c1a487116d4},
 last_modified = {2017-03-14T09:54:45.334Z},
 read = {false},
 starred = {false},
 authored = {false},
 confirmed = {true},
 hidden = {false},
 source_type = {JOUR},
 notes = {ID: 24652944; Accession Number: 24652944. Language: English. Date Created: 20140321. Update Code: 20140326. Publication Type: Journal Article. Journal ID: 8606502. Publication Model: Print-Electronic. Cited Medium: Internet. NLM ISO Abbr: J Appl Gerontol. PubMed Central ID: PMC3962951 Available on 02/01/15]. Linking ISSN: 07334648. Subset: In-Data-Review; IM; Grant Information: P01 AG027296 United States AG NIA NIH HHS Date of Electronic Publication: 2012 Nov 28. Current Imprints: Publication:  : Thousand Oaks, CA : Sage Publications for the Southern Gerontological Society; Original Imprints: Publication: Tampa, Fla. : The Southern Gerontologial Society, c1982-},
 folder_uuids = {3f8d7ce1-e3f4-4c64-add9-a1fb30f8c887},
 private_publication = {false},
 abstract = {Medical staff (physicians, nurse practitioners, physicians' assistants) involvement in nursing homes (NH) is limited by professional guidelines, government policies, regulations, and reimbursements, creating bureaucratic burden. The conceptual NH Medical Staff Involvement Model, based on our mixed-methods research, applies the Donabedian "structure-process-outcomes" framework to the NH, identifying measures for a coordinated research agenda. Quantitative surveys and qualitative interviews conducted with medical directors, administrators and directors of nursing, other experts, residents and family members and Minimum Data Set, the Online Certification and Reporting System and Medicare Part B claims data related to NH structure, process, and outcomes were analyzed. NH control of medical staff, or structure, affects medical staff involvement in care processes and is associated with better outcomes (e.g., symptom management, appropriate transitions, satisfaction). The model identifies measures clarifying the impact of NH medical staff involvement on care processes and resident outcomes and has strong potential to inform regulatory policies. ;},
 bibtype = {article},
 author = {Shield, Renée and Rosenthal, Marsha and Wetle, Terrie and Tyler, Denise and Clark, Melissa and Intrator, Orna},
 journal = {Journal Of Applied Gerontology: The Official Journal Of The Southern Gerontological Society},
 number = {1}
}

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