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Patient Preferences for Communication With Physicians About End-of-Life Decisions
BACKGROUND: Physicians are frequently unaware of patient preferences for end-of-life care. Identifying and exploring barriers to patient-physician communication about end-of-life issues may help guide physicians and ...
Outcomes and Cost-Effectiveness of Initiating Dialysis and Continuing Aggressive Care in Seriously Ill Hospitalized Adults
BACKGROUND: Renal failure requiring dialysis in the setting of hospitalization for serious illness is a poor prognostic sign, and dialysis and aggressive care are sometimes withheld. OBJECTIVE: To evaluate the clinical ...
Perceptions by Family Members of the Dying Experience of Older and Seriously Ill Patients
BACKGROUND: Alleviating the problems faced by dying persons and their families has drawn substantial public attention, but little is known about the experience of dying. OBJECTIVE: To characterize the experience of dying ...
The Illusion of End-of-Life Resource Savings With Advance Directives
OBJECTIVE: Would increasing the documentation of advance directives (ADs) lead to a reduction in resource utilization? We examined this question by conducting three secondary analyses: (1) we tested for a change in ...
Do Advance Directives Provide Instructions That Direct Care?
OBJECTIVE: To evaluate whether the lack of effect of advance directives (ADs) on decision-making in SUPPORT might arise, in part, from the content of the actual documents. DESIGN: Advance directives placed in the medical ...