The Findings of the Dartmouth Atlas Project: A Challenge to Clinical and Ethical Excellence in End-of-Life Care
Mitchell, John J Jr.
The Journal of clinical ethics 2011 Fall; 22(3): 267-76
The Dartmouth Institute for Health Policy and Clinical Practice Atlas Project found "staggering variations" in the quality and quantity of end-of-life care provided to Medicare patients with severe chronic illness across the United States. Particularly concerning is the finding that more care is provided to patients who live in "high-supply" areas, irrespective of the effectiveness of care, and that more care often equaled inappropriate care that increased patients' suffering at the end of life. Patients in "lower supply" areas typically received better, more appropriate levels of care and reported higher levels of satisfaction with the care they received.
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End-of-Life Care in the Pediatric Intensive Care Unit: Attitudes and Practices of Pediatric Critical Care Physicians and Nurses Burns, Jeffrey P.; Mitchell, Christine; Griffith, John L.; Truog, Robert D. (2001-03)
Clarke, Ellen B.; Curtis, J. Randall; Luce, John M.; Levy, Mitchell; Danis, Marion; Nelson, Judith; Solomon, Mildred Z. (Robert Wood Johnson Foundation Critical Care End-Of-Life Peer Workgroup Members, 2003-09)
Yaguchi, Arino; Truog, Robert D.; Curtis, J. Randall; Luce, John M.; Levy, Mitchell M.; Melot, Christian; Vincent, Jean-Louis (2005-09-26)BACKGROUND: Important international differences exist in attitudes toward end-of-life issues in the intensive care unit. METHODS: A simple questionnaire survey was sent by e-mail to participants at an international meeting ...