We strongly concur with the editorial written by Katz, Kronhaus, and Fuller
1
with regard to the recommendation that there be involvement of physicians in the
care of residents living in assisted living (AL) communities, regardless of the state
and the requirements within that state. Those of us working in this profession know
that the description of AL varies by state
2
but generally refers to residences that provide housing and supportive services,
24-hour supervision, and at least 2 meals a day to meet the individual needs of residents.
Currently a commitment to provide medical care or management is not included in the
description of AL, but in most instances the AL is responsible for coordinating health
care services for their residents, including the provision of medication management.National Center for Assisted Living
Assisted Living State Regulatory Review 2012.
Assisted Living State Regulatory Review 2012.
2012
http://www.ahcancal.org/ncal/resources/Documents/Final%2012%20Reg%20Review.pdf
Date accessed: November 26, 2017
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References
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- The Role of Physicians Practicing in Assisted Living: Time for ChangeJournal of the American Medical Directors AssociationVol. 19Issue 2
- PreviewAlthough there is general consensus on the need for, and value of, experienced, knowledgeable, and dedicated physicians in the nursing home (NH), there has been insufficient dialogue concerning the “value proposition” for physicians in assisted living (AL) communities. We believe there are two overriding issues that have stifled this dialogue. The first relates to the commonly accepted premise that the social model, rather than the medical model, must be the predominant driver of care in AL. The second issue relates to the variability of state regulations that have implications for the physician's ultimate role and responsibility in the delivery of medical services in AL.
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