Institute of Medicine
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NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for this report were chosen for their special competences and with regard for appropriate balance.

This report has been reviewed by a group other than the authors according to procedures approved by a Report Review Committee consisting of members of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.

The Institute of Medicine was chartered in 1970 by the National Academy of Sciences to enlist distinguished members of the appropriate professions in the examination of policy matters pertaining to the health of the public. In this, the Institute acts under both the Academy’s 1863 congressional charter responsibility to be an adviser to the federal government and its own initiative in identifying issues of medical care, research, and education. Dr. Kenneth I.Shine is president of the Institute of Medicine.

Support for this project was provided by the Administration on Aging, U.S. Department of Health and Human Services, Contract No. HHS-100–93–0032.

Library of Congress Cataloging-in-Publication Data

Real people, real problems: an evaluation of the long-term care ombudsman programs of the Older Americans Act/Jo Harris-Wehling, Jill C.Feasley, and Carroll L.Estes, editors.

p. cm.

Includes bibliographical references

1. Nursing homes—Patient representative services—United States. 2. Long-term care facilities—Patient representative services—United States. 3. United States. 3. United States. Older Americans Act of 1965. 4. Nursing homes—Complaints against—United States. 5. Nursing homes—Law and legislation—United States. 6. Nursing home patients—Legal status, laws, etc.—United States. 7. Nursing homes—Standards—United States. I. Harris-Wehling, Jo, 1941– II. Feasley, Jill C., 1965–. III. Estes, Carroll L. IV. Institute of Medicine (U.S.). Division of Health Care Services,

RA999.P34R43 1995




Copyright 1995 by the National Academy of Sciences. All rights reserved.

The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The image adopted as a logotype by the Institute of Medicine is based on a relief carving from ancient Greece, now held by the Staatlichemuseen in Berlin.

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