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An Outcomes Model of Medical Decision Making
In the traditional 'fix-it' model of medical decision making, the identified problem is typically characterized by a diagnosis that indicates a deviation from normalcy. When a medical problem is multifaceted and the available ...
Functional Status Among Survivors of in-Hospital Cardiopulmonary Resuscitation
OBJECTIVES: To describe functional outcomes of seriously III patients who survived 2 months after in-hospital cardiopulmonary resuscitation (CPR) and to identify patient and clinical characteristics associated with ...
Factors Associated With Change in Resuscitation Preference of Seriously Ill Patients
BACKGROUND: During serious illness, patient preferences regarding life-sustaining treatments play an important role in medical decisions. However, little is known about life-sustaining preference stability in this population ...
Evaluation of Prognostic Criteria for Determining Hospice Eligibility in Patients With Advanced Lung, Heart, or Liver Disease
CONTEXT: Many individuals involved with care of the dying advocate expanding access to hospice care for persons with advanced lung, heart, or liver disease. However, to be eligible, these patients generally must have ...
An 88-Year-Old Woman Facing the End of Life
Development of an Institutional Policy on Artificial Hydration and Nutrition
The issues involved in deciding whether to use artificial methods of delivering hydration and nutrition are often very difficult for patients, families, and health care providers. Once private and personal matters, ...
Capitated Risk-Bearing Managed Care Systems Could Improve End-of-Life Care
Capitated or salaried managed care systems offer an important opportunity to provide high quality, cost-effective end-of-life care. However, capitated healthcare delivery systems have strong incentives to avoid patient populations ...
Health Values of Hospitalized Patients 80 Years or Older
CONTEXT: Health values (utilities or preferences for health states) are often incorporated into clinical decisions and health care policy when issues of quality vs length of life arise, but little is known about health values ...