RT Journal
A1 Koopmans RM, Lavrijsen JM, Zuidema SU
T1 The physician’s role in nursing homes: The dutch solution
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 2010
FD August 9
VO 170
IS 15
SP 1406
OP 1407
DO 10.1001/archinternmed.2010.278
UL http://dx.doi.org/10.1001/archinternmed.2010.278
AB 
We read with great interest the article by Johnson1 on the physician's role in changing the culture of nursing homes. However, we were surprised that the author did not point at the Dutch situation, where specialty training for nursing home physicians has existed since 1990.2 Over the past 20 years, the Netherlands has developed unique working methods, based on the Chronic Care Model (http://www.improvingchroniccare.org). Dutch nursing home physicians are employed by the nursing home. One full-time physician has the treatment responsibility for 100 residents and applies all aspects of medical care that Johnson1 describes.