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Palliative Care

Journal Article
Providing Care at the End of Life, Do Medicare Rules Impede Good Care? A Study of End-of-Life Care Providers Reveals Some Shortcomings
Medicare spends more than a quarter of its annual budget on care for those in their last year of life and covers more than 80 percent of decedents.
Jan 1, 2001
Journal Article
End-of-life Discussions and Preferences Among Persons with HIV
Half of all persons infected with HIV are at risk of making end-of-life decisions without prior discussions with their health care practitioners.
Jan 1, 2001
Journal Article
Medicare Beneficiaries' Costs of Care in the Last Year of Life: End-of-Life Costs Are Only Slightly Higher for Persons Who Died Than for Survivors with Similar Characteristics
This paper profiles Medicare beneficiaries' costs for care in the last year of life.
Jan 1, 2001
Journal Article
Planning Medical Services for the End of Life
Contains a response by the author of the original article discussed by Alexander and Portnoi in their letters to the editor contained herein.
Jan 1, 2001
Journal Article
Reliable, High-Quality, Efficient End-of-Life Care for Cancer Patients: Economic Issues and Barriers
Living with, and eventually dying from, a chronic illness ordinarily runs up substantial costs for the patient, family, and society.
Jan 1, 2001
Journal Article
Serving Patients Who May Die Soon and Their Families: The Role of Hospice and Other Services
The case story of a 47-year-old man with advanced rectal carcinoma illustrates the professional services and care system strategies available.
Jan 1, 2001
Journal Article
Age-related Differences in Care Preferences, Treatment Decisions, and Clinical Outcomes of Seriously Ill Hospitalized Adults: Lessons from SUPPORT
Seriously ill hospitalized older patients were treated less aggressively than younger patients.
Jan 1, 2000
Journal Article
Decision-Making and Outcomes of Prolonged ICU Stays in Seriously Ill Patients
Prolonged ICU stays were expensive and were often followed by death or disability.
Jan 1, 2000
Journal Article
Family Satisfaction with End-of-Life Care in Seriously Ill Hospitalized Adults
Satisfaction scores suggest the need for improvement in end-of-life care, especially in communication and decision-making.
Jan 1, 2000
Journal Article
Patients Who Want Their Family and Physician to Make Resuscitation Decisions for Them: Observations from SUPPORT and HELP
These results underscore the need to understand resuscitation preferences within a broader context of patient values.
Jan 1, 2000
Journal Article
Age Differences in Care Practices and Outcomes for Hospitalized Patients with Cancer
Patient age influenced care decisions and outcomes.
Jan 1, 2000
Journal Article
Dying with Lung Cancer or Chronic Obstructive Pulmonary Disease: Insights from SUPPORT
In caring for patients with severe COPD, consideration should be given to implementing palliative treatments more aggressively.
Jan 1, 2000
Journal Article
Elderly Persons' Last Six Months of Life: Findings from the Hospitalized Elderly Longitudinal Project
Few studies describe the end of life in very old people.
Jan 1, 2000
Journal Article
Findings from SUPPORT and HELP: An Introduction
The authors provide a summary of the history and accomplishments of this study and an overview of the articles in this supplement.
Jan 1, 2000
Journal Article
Learning to Care for People with Chronic Illness Facing the End of Life
Modern living conditions and health care have ensured that most will die slowly, and mostly in old age.
Jan 1, 2000
Journal Article
Rethinking Fundamental Assumptions: SUPPORT's Implications for Future Reform
SUPPORT's intervention may have failed to have an impact because strong psychological and social forces underlie present practices.
Jan 1, 2000
Journal Article
Pain and Suffering in Seriously Ill Hospitalized Patients
Control of pain and other symptoms remains an important medical and ethical issue.
Jan 1, 2000
Journal Article
Influence of Patient Preferences and Local Health System Characteristics on the Place of Death
Examine the degree to which variation in place of death is explained by differences in the characteristics of patients, including preferences for dying at home, and by differences in the characteristics of local health systems.
Jan 1, 1998
Journal Article
Patient Empowerment and Feedback Did Not Decrease Pain in Seriously Ill Hospitalized Adults
The authors tested a nurse clinician-mediated intervention to relieve pain in a group of seriously ill hospitalized adults using a randomized controlled trial at five tertiary care academic centers in the US.
Jan 1, 1998
Journal Article
Physician Experience Caring for Dying Patients and Its Relationship to Patient Outcomes
The objective of this study was to examine whether physicians' experience with dying is associated with differences in their patients' experiences while dying.
Jan 1, 1998

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Research conducted by

RAND Health Care