Go Gentle into That Good Night

The Past, Present, and Future of End-of-Life Care

by Adam E. Singer

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End-of-life care has received increasing attention in recent years as the baby boomers age and health care costs continue to rise. This attention has brought with it remarkable growth in the field and improvement in care, but there remains work to be done in order to more consistently deliver high quality, compassionate, and patient- and family-centered end-of-life care. This dissertation examines the past, present, and future of end-of-life care in order to shed light on the most effective ways to organize and deliver it.

Table of Contents

  • Chapter One

    Introduction

  • Chapter Two

    Symptom Trends in the Last Year of Life, 1998‐2010: A Cohort Study

  • Chapter Three

    Populations and Interventions for Palliative and End‐of‐Life Care: A Systematic Review

  • Chapter Four

    Estimating the Value of Palliative Care for Older Adults: What Does the Evidence Support?

  • Chapter Five

    Conclusions

Research conducted by

This document was submitted as a dissertation in May 2015 in partial fulfillment of the requirements of the doctoral degree in public policy analysis at the Pardee RAND Graduate School. The faculty committee that supervised and approved the dissertation consisted of Karl Lorenz (Chair), Daniella Meeker, and Joan Teno.

This report is part of the RAND Corporation dissertation series. Pardee RAND dissertations are produced by graduate fellows of the Pardee RAND Graduate School, the world's leading producer of Ph.D.'s in policy analysis. The dissertations are supervised, reviewed, and approved by a Pardee RAND faculty committee overseeing each dissertation.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.