Abstract
Abstract
Background:
The purpose of this study was to observe the roles played by six hospice medical directors from two hospice programs during interdisciplinary team case reviews.
Methods:
The study analyzed videotapes of case reviews in two hospice agencies over a two year period. The results indicate that the roles and levels of participation vary. Medical Directors were observed reviewing and assisting with care plans, acting as a liaison with primary physicians, educating staff, consulting with attending physicians, participating in quality assurance activities, and dealing with budget issues.
Results:
Medical Directors did not make home visits or assume the role of attending physician during the observation period.
Conclusions:
The study demonstrates variance in roles among medical directors and raises new questions for future research.
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