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Palliative Care

Journal Article
Association of Early Patient-Physician Care Planning Discussions and End-of-Life Care Intensity in Advanced Cancer
Early patient-physician care planning discussions may influence the intensity of end-of-life (EOL) care received by veterans with advanced cancer.
Jul 28, 2015
Journal Article
A Scalable Web-Based Module for Improving Surgical and Medical Practitioner Knowledge and Attitudes About Palliative and End-of-Life Care
We built a web-based, interactive, self-directed learning module about end-of-life care.
Jul 16, 2015
Dissertation
Go Gentle into That Good Night: The Past, Present, and Future of End-of-Life Care
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.
May 26, 2015
Journal Article
Impact of Consideration of Transplantation on End-of-Life Care for Patients During a Terminal Hospitalization
Many patients considered for transplantation die before receiving the organ, underlining the importance of providing high-quality symptomatic relief and communication for all transplant patients.
Apr 29, 2015
Journal Article
Factors Associated with Palliative Withdrawal of Mechanical Ventilation and Time to Death After Withdrawal
In imminently dying patients, mechanical ventilation withdrawal is often a comfort measure and avoids prolonging the dying process.
Apr 29, 2015
Journal Article
The Invisible Homebound: Setting Quality-of-Care Standards for Home-Based Primary and Palliative Care
This article describes the current status of home-based medical care in the United States and offers a brief narrative of a fictional homebound patient and the health events and fragmented care she faces.
Jan 8, 2015
Report
Hospice Experience of Care Survey: Development and Field Test
This report describes development of the Hospice Experience of Care Survey, field test design, procedures, analytic methods and findings, and the final survey for national implementation by the Centers for Medicare & Medicaid Services.
Aug 8, 2014
Commentary
What to Do About 'Futile' Critical Care
There are times when no amount of care, however cutting-edge it is, will save a patient. In these instances, further critical care is said to be “futile.” This type of treatment is not uncommon in intensive care units, and that raises some uncomfortable questions.
Sep 13, 2013
Brochure
Assessing Patients' Experiences with Care
Understanding how patients experience care can encourage delivery of high-quality services. It also helps payers, including the Centers for Medicare & Medicaid Services, ensure that they pay for effective and efficient care.
Jun 26, 2013
Multimedia
Palliative Care: Improving Quality of Life for the Seriously Ill
Karl Lorenz, a professor at the Pardee RAND Graduate School, discusses how to improve palliative care training for health practitioners and better engage patients in the health care decisionmaking process.
Feb 26, 2013
Journal Article
Development of a Prognostic Model for Six-Month Mortality in Older Adults with Declining Health
Estimation of six-month prognosis is essential in hospice referral decisions, but accurate, evidence-based tools to assist in this task are lacking.
Mar 1, 2012
Journal Article
Missed Opportunities: Use of an End-of-Life Symptom Management Order Protocol Among Inpatients Dying Expected Deaths
Evaluation of implementation of a standardized order set can identify areas for quality improvement and missed opportunities for use.
Apr 1, 2011
Journal Article
Evaluating a Palliative Care Intervention for Veterans: Challenges and Lessons Learned in a Longitudinal Study of Patients with Serious Illness
Longitudinal studies examining care for seriously ill patients are needed to understand patients' experience of illness, evaluate interventions, and improve quality of care.
Mar 14, 2011
News Release
End-of-Life Care in Teaching Hospital Is Generally Good, but More Family Communication Is Needed
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.
Jun 28, 2010
Journal Article
End-of-Life Care in Teaching Hospital Is Generally Good, but More Family Communication Is Needed
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.
Jan 1, 2010
Journal Article
Factors Associated with Clinician Intention to Address Diverse Aspects of Pain in Seriously Ill Outpatients
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.
Jan 1, 2010
Journal Article
Hospice Use and High-Intensity Care in Men Dying of Prostate Cancer
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.
Jan 1, 2010
Journal Article
Quality of End-of-Life Care in Low-Income, Uninsured Men Dying of Prostate Cancer
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.
Jan 1, 2010
Journal Article
Provider Communication and Patient Understanding of Life-Limiting Illness and Their Relationship to Patient Communication of Treatment Preferences
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.
Jan 1, 2010
Journal Article
Discussions with Physicians About Hospice Among Patients with Metastatic Lung Cancer
Discussing hospice with a health care provider could increase awareness of hospice and possibly result in earlier use.
May 1, 2009

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RAND Health Care