2012-05-24T14:18:07Z Copyright (c) 2012, The RAND Corporation RAND Corporation http://www.rand.org/topics/palliative-care.html http://www.rand.org/pubs/external_publications/EP20120057.html Mar 1, 2012 Mar 1, 2012

This study seeks to develop a new prognostic model, the Patient-Reported Outcome Mortality Prediction Tool (PROMPT), for six-month mortality in community-dwelling elderly patients.

http://www.rand.org/pubs/external_publications/EP201100248.html Mar 31, 2011 Mar 31, 2011

Evaluation of implementation of a standardized order set can identify areas for quality improvement and missed opportunities for use.

http://www.rand.org/pubs/external_publications/EP20110047.html Mar 13, 2011 Mar 13, 2011

<p>Longitudinal studies examining care for seriously ill patients are needed to understand patients' experience of illness, evaluate interventions, and improve quality of care. Unfortunately, such studies face substantial methodological challenges. This article describes such challenges and the strategies used to overcome them in a successfully implemented palliative care intervention trial for veterans.</p>

http://www.rand.org/news/press/2010/06/28.html Jun 28, 2010 Jun 28, 2010

Patients admitted to a teaching hospital for an end-of-life illness generally receive high-quality medical care, but there is a need for better communication about family expectations and for timely efforts to keep patients comfortable.

http://www.rand.org/pubs/external_publications/EP20100093.html Jun 27, 2010 Jun 27, 2010

Patients admitted to a teaching hospital for an end-of-life illness generally receive high-quality medical care, but there is a need for better communication about family expectations and for timely efforts to keep patients comfortable.

http://www.rand.org/pubs/external_publications/EP20100125.html Dec 31, 2009 Dec 31, 2009

This study assessed hospice use by men dying of prostate cancer and compared the use of high-intensity care between those who did or did not enroll in hospice. Those who enroll in hospice are less likely to receive high-intensity end-of-life care.

http://www.rand.org/pubs/external_publications/EP20100009.html Dec 31, 2009 Dec 31, 2009

<p>Medical decision making in the context of serious illness ideally involves a patient who understands his or her condition and prognosis and can effectively formulate and communicate his or her care preferences.</p>

http://www.rand.org/pubs/external_publications/EP20100024.html Dec 31, 2009 Dec 31, 2009

<p>The quality of end-of-life care was assessed in disadvantaged men prospectively enrolled in a public assistance program. That end-of-life care would be aggressive, moreso than recommended by quality-of-care guidelines, was hypothesized.</p>

http://www.rand.org/pubs/external_publications/EP20090714.html Dec 31, 2008 Dec 31, 2008

<p>In the United States and abroad, the aging of the population and changes in its demographic and social composition raise important considerations for the future of health care and the systems that pay for care.</p>

http://www.rand.org/pubs/external_publications/EP20090626.html Dec 31, 2008 Dec 31, 2008

<p>The purpose of this article is to examine variation in resource utilization across and within patient stays in the context of Medicare's per diem payment system for hospice.</p>

http://www.rand.org/pubs/external_publications/EP20090503.html Dec 31, 2008 Dec 31, 2008

<p>Hospice care has been found to improve symptom management, quality of death and quality of life at the end of life.</p>

http://www.rand.org/pubs/external_publications/EP20091108.html Dec 31, 2008 Dec 31, 2008

<p>Although dyspnea and fatigue are hallmark symptoms of heart failure (HF), the burden of pain may be underrecognized. This study assessed pain in HF and identified contributing factors.</p>

http://www.rand.org/pubs/external_publications/EP20091218.html Dec 31, 2008 Dec 31, 2008

<p>Patients with advanced cancer often do not receive high-quality pain and symptom management or support with coordination of care, communication, and decisionmaking. Posits a conceptual framework for quality indicator development and implementation.</p>

http://www.rand.org/pubs/technical_reports/TR642.html Nov 29, 2008 Nov 29, 2008

<p>Expansion of home/community end of life services can reduce acute care costs and benefit patients by accommodating expressed preferences on place of death.</p>

http://www.rand.org/pubs/external_publications/EP20080920.html Aug 31, 2008 Aug 31, 2008

Evaluates factors that affect the financial performance of hospice.

http://www.rand.org/pubs/external_publications/EP20080111.html Dec 31, 2007 Dec 31, 2007

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

http://www.rand.org/pubs/external_publications/EP20080822.html Dec 31, 2007 Dec 31, 2007

<p>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.</p>

http://www.rand.org/pubs/external_publications/EP20080510.html Dec 31, 2007 Dec 31, 2007

<p>Gender disparities in expenditures are generally small at the end of life for lung cancer decedents. The bigger observed differences are by age. Higher expenditures for women on social-supportive services may reflect fewer informal supports.</p>

http://www.rand.org/pubs/external_publications/EP20081013.html Dec 31, 2007 Dec 31, 2007

<p>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.</p>

http://www.rand.org/pubs/external_publications/EP20080825.html Dec 31, 2007 Dec 31, 2007

<p>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.</p>