2012-05-24T14:56:12Z Copyright (c) 2012, The RAND Corporation RAND Corporation http://www.rand.org/topics/advance-directives.html http://www.rand.org/pubs/external_publications/EP20090014.html Dec 31, 2008 Dec 31, 2008

<p>Using data for 1996 to 2004 from the United States Health and Retirement Study, this article examines the differences between parents and childless older people in financial transfers to people other than their children.</p>

http://www.rand.org/pubs/external_publications/EP20090901.html Dec 31, 2008 Dec 31, 2008

<p>The authors examined whether the effect of parental death on adults siblings' relationship quality varies on the basis of the presence and perceived effectiveness of a deceased parent's formal preparations for end-of-life care.</p>

http://www.rand.org/pubs/external_publications/EP20080622.html Dec 31, 2007 Dec 31, 2007

<p>Finds variability in advance directive documentation for nursing home patients on transfer to the emergency department, and finds that emergency clinicians experience substantial difficulty in reliably obtaining information about advance directives.</p>

http://www.rand.org/pubs/external_publications/EP20080313.html Dec 31, 2007 Dec 31, 2007

<p>Even in a system known for high-quality chronic illness care, documentation of advance care planning and proxies for health decisions at end of life was infrequent. Involvement of outpatient primary care and geriatric providers may improve care.</p>

http://www.rand.org/pubs/external_publications/EP20080117.html Dec 31, 2007 Dec 31, 2007

<p>Assesses evidence about interventions to improve palliative and end-of-life care.</p>

http://www.rand.org/pubs/external_publications/EP20071034.html Dec 31, 2006 Dec 31, 2006

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

http://www.rand.org/pubs/external_publications/EP20030510.html Dec 31, 2002 Dec 31, 2002

<p>The authors discuss serious, recurring, and generally unnoticed errors in planning for care near the end of life and possible steps toward improvement. Repairing these shortcomings will require quality improvement and system redesign efforts, methods familiar from patient safety initiatives. Reliable improvement will also require making it unacceptable for clinicians to fail to plan ahead for care during fatal chronic illness.</p>

http://www.rand.org/pubs/external_publications/EP20030007.html Dec 31, 2002 Dec 31, 2002

<p>Advanced care planning to avoid unwanted care at the end of life remains a low priority in patient care.</p>

http://www.rand.org/pubs/external_publications/EP20010601.html Dec 31, 2000 Dec 31, 2000

<p>Half of all persons infected with HIV are at risk of making end-of-life decisions without prior discussions with their health care practitioners. Blacks, Latinos, intravenous drug users, and less educated individuals need advance care planning interventions in clinical HIV programs.</p>

http://www.rand.org/pubs/external_publications/EP20000538.html Dec 31, 1999 Dec 31, 1999

<p>Although SUPPORT aimed to describe and compare decision-making affecting seriously ill patients, it also illuminated many other aspects of their course near death.</p>

http://www.rand.org/pubs/external_publications/EP20000521.html Dec 31, 1999 Dec 31, 1999

<p>Physicians often misunderstand seriously ill, hospitalized patients' resuscitation preferences, especially preferences to forego CPR. Factors associated with misunderstanding suggest that physicians infer patients' preferences without asking the patient. Patients who prefer to forego CPR but whose wishes are not understood by their physician may receive unwanted treatment</p>

http://www.rand.org/pubs/external_publications/EP20000536.html Dec 31, 1999 Dec 31, 1999

<p>SUPPORT documents that physicians and surrogates are often unaware of seriously ill patients' preferences.</p>

http://www.rand.org/pubs/external_publications/EP20000539.html Dec 31, 1999 Dec 31, 1999

<p>Even after adjustment for patients' prognoses and care preferences, seriously ill hospitalized older patients were treated less aggressively than younger patients.</p>

http://www.rand.org/pubs/external_publications/EP20000520.html Dec 31, 1999 Dec 31, 1999

<p>Prolonged ICU stays were expensive and were often followed by death or disability.</p>

http://www.rand.org/pubs/external_publications/EP20000529.html Dec 31, 1999 Dec 31, 1999

<p>These results underscore the need to understand resuscitation preferences within a broader context of patient values.</p>

http://www.rand.org/pubs/external_publications/EP19990107.html Dec 31, 1998 Dec 31, 1998

<p>Even after adjustment for differences in patients' prognoses and preferences, older age was associated with higher rates of decisions to withhold ventilator support, surgery, and dialysis.</p>

http://www.rand.org/pubs/external_publications/EP19980908.html Dec 31, 1997 Dec 31, 1997

<p>Describe characteristics, outcomes, and decision making in patients with colorectal cancer metastatic to the liver, and to examine the relationship of doctor-patient communication with patient understanding of prognosis and physician understanding of patients' treatment preferences.</p>

http://www.rand.org/pubs/external_publications/EP19951001.html Dec 31, 1994 Dec 31, 1994

<p>Examines the sample of patients with DNR orders in the DRG Quality of Care Study to determine the relationship between DNR orders and patient and hospital characteristics. The study found that after adjustment for sickness at admission and functional impairment, DNR orders were assigned more often to older patients and also differed by diagnosis (highest among CVA patients, lowest among acute myocardial infarction patients).</p>