RT Journal
A1 Johnson M
T1 The physician’s role in nursing homes: The dutch solution—reply
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.2010.279
UL http://dx.doi.org/10.1001/archinternmed.2010.279
AB 
Kapp has identified a lack of physician involvement in nursing home care as a major barrier to cultural change. He and others have cited fear of litigation, potential loss of income, complex regulations, insufficient nursing and administrative support, lack of respect for nursing home physicians, and the complexity of care as possible causes of physician unwillingness to engage in nursing home care.1- 2 Although encouraging more physician involvement in nursing homes will require a multipronged approach, finding a way to engender professional respect for those who provide nursing home care is key.