QD: News Every Day--End-of-life talks still a sticking point. Less than one-third of patients get the end-of-life care that they expressly asked for, a study ... Agreement between patients' end-of-life care and what was documented in the medical record
What about the incapacitated surrogate?'. What should physicians do when surrogate decision makers lack the willingness or capacity to make choices for a patient's end-of-life care? ... The family fought efforts to remove her from a respirator and wanted
This is the end of my year as ACP President, and it has been the honor of a lifetime. ... Patients look to us to help solve the problems of prescription drug costs and opioid dependence, provide access to compassionate and ethical end-of-life care,
further study of payment models in federal health care programs. The second paper offered recommendations to improve information about drug pricing for physicians and patients. ... The Ethics Manual offers ethical guidance on genetic testing, telemedicine
In our story, leading experts detail what to look for and how to optimize care. ... But the issue—and the resulting controversy—affects all physicians, some experts say, because of the larger questions it raises about optimal end-of-life care.
Something I wish I'd learned in medical school: There was not a lot of training in palliative care. ... One of my mentors, Art Schmale, MD, who trained both as an internist and as a psychiatrist and who was a pioneer in both palliative and end-of-life
Patients were randomized into one of four groups that differed by name (supportive care vs. ... Further compounding the problem is that palliative care often occurs at the end of life, oncologists may define it as end-of-life care, and hospice care has
Patients at the end of life, facing tough decisions and suffering from many symptoms, particularly need ideal medical care. ... Really, end-of-life care is not yet standardized,” said Stephen Bekanich, MD, a hospitalist and medical director of the
Over time, fee-for-service could be completely replaced with models that pay based on the value of care provided. ... Patients could be encouraged to do more advance planning on end-of-life care.
In some cases subspecialists would lead PCMH-type care if, for example, a patient's health care needs are centered on complex single-organ issues, such as end stage renal disease. ... Improved quality of practice. A thriving primary care workforce can