2012-05-10T18:02:49Z Copyright (c) 2012, The RAND Corporation RAND Corporation http://www.rand.org/about/people/l/lorenz_karl.html http://www.rand.org/commentary/2009/09/11/CNN.html 2009-09-11T15:19:00Z 2009-09-11T15:19:00Z

What can you choose when life restricts you to the narrow width of a hospital bed and your view is one of life's final horizon, ask Steven M. Asch, Karl Lorenz, and Diane Meier.

http://www.rand.org/pubs/working_papers/WR401.html 2006-06-21T16:31:00Z 2006-06-21T16:31:00Z

Uses visit data from a large national chain of hospice providers to reevaulate Medicare's per diem payment system for hospice care.

http://www.rand.org/pubs/external_publications/EP20100093.html 2010-01-01T00:00:00Z 2010-01-01T00:00:00Z

This study of end-of-life care received by hospitalized adults identified deficiencies in planning and palliative care that can be targeted to improve the quality of care for patients dying in the hospital.

http://www.rand.org/pubs/reprints/RP1263.html 2006-01-01T00:00:00Z 2006-01-01T00:00:00Z

Uses a literature search to identify quality measures for palliative cancer care and the evidence to support their use in pain, dyspnea, depression, and advance care planning, and to ascertain research gaps.

http://www.rand.org/pubs/external_publications/EP20010510.html 2001-01-01T00:00:00Z 2001-01-01T00:00:00Z

The relationship between symptoms and health-related quality of life has not been fully explored.

http://www.rand.org/pubs/external_publications/EP20100112.html 2010-01-01T00:00:00Z 2010-01-01T00:00:00Z

This study of the factors associated with clinician's intention to treat pain symptoms suggests that useful targets for improving pain management include bolstering clinicians? confidence in their own pain management skills and improving their trust in pain ratings.

http://www.rand.org/pubs/external_publications/EP20081013.html 2008-01-01T00:00:00Z 2008-01-01T00:00:00Z

Definitions of end of life care need clarification and standardisation. A greater evidence base is needed to define models of good practice together with a commitment to provide education and training and adequate resources for service provision. More needs to be known about the context of provision and the influence of competing priorities and incentives.

http://www.rand.org/pubs/external_publications/EP20071047.html 2007-01-01T00:00:00Z 2007-01-01T00:00:00Z

Authors' current efforts focus on using these indicators to aid implementation of a new resuscitation policy for seriously ill patients in our county.

http://www.rand.org/pubs/external_publications/EP20071034.html 2007-01-01T00:00:00Z 2007-01-01T00:00:00Z

The literature summaries that support each indicator judged valid by the expert panel are described.

http://www.rand.org/pubs/external_publications/EP20080823.html 2008-01-01T00:00:00Z 2008-01-01T00:00:00Z

High-quality management of cancer pain depends on evidence-based standards for screening, assessment, treatment, and follow-up for general cancer pain and specific pain syndromes.

http://www.rand.org/pubs/external_publications/EP20080822.html 2008-01-01T00:00:00Z 2008-01-01T00:00:00Z

Examines progress in supportive cancer care, which encompasses direct and treatment-related impacts of cancer, including management of pain and other symptoms, and the psychosocial context, including spirituality and challenges of caregiving.

http://www.rand.org/pubs/external_publications/EP20080824.html 2008-01-01T00:00:00Z 2008-01-01T00:00:00Z

The experience of patients with cancer often involves symptoms of fatigue, anorexia, depression, and dyspnea. The authors developed a set of standards through structured literature review and rating by a multidisciplinary expert panel.

http://www.rand.org/pubs/external_publications/EP20080825.html 2008-01-01T00:00:00Z 2008-01-01T00:00:00Z

Domains of information and care planning for high-quality cancer care include integration of palliation, advance care planning, sentinel events as markers for the need to readdress a patient's goals of care, and continuity of care planning.

http://www.rand.org/pubs/external_publications/EP20080821.html 2008-01-01T00:00:00Z 2008-01-01T00:00:00Z

Presents key targeted evidence-based and expert-rated standards for preventing and managing nausea and vomiting in cancer care, which should be incorporated into care pathways and should become the expectation rather than the exception.

http://www.rand.org/pubs/external_publications/EP20080111.html 2008-01-01T00:00:00Z 2008-01-01T00:00:00Z

More focus on these satisfaction elements might improve the effectiveness of end-of-life interventions and their evaluation.

http://www.rand.org/pubs/external_publications/EP20080117.html 2008-01-01T00:00:00Z 2008-01-01T00:00:00Z

Assesses evidence about interventions to improve palliative and end-of-life care.

http://www.rand.org/pubs/external_publications/EP20071006.html 2007-01-01T00:00:00Z 2007-01-01T00:00:00Z

In general, most measures have not undergone rigorous development and testing.

http://www.rand.org/pubs/external_publications/EP20051232.html 2005-01-01T00:00:00Z 2005-01-01T00:00:00Z

As background for a National Institutes of Health State of the Science Conference on End-of-Life-Care, the authors performed a systematic review of end-of-life care and outcomes intended to evaluate the evidence in the field from the perspective of concerns important to patients, caregivers, and the health care system. This article relates the challenges in performing a systematic review of end-of-life care and outcomes, and describes the methods that the authors used to define the scope, search the literature, develop exclusion and inclusion criteria, incorporate various types of articles, and synthesize the results.

http://www.rand.org/pubs/external_publications/EP20051030.html 2005-01-01T00:00:00Z 2005-01-01T00:00:00Z

Examines the reasons and search strategies related to physicians' search for evidence and compares clinician and physician manager approaches for using evidence.

http://www.rand.org/pubs/external_publications/EP20030507.html 2003-01-01T00:00:00Z 2003-01-01T00:00:00Z

Physicians play an inescapable role in presenting and shaping health care decisions.