Rx for Dying: The Case for Hospice
New England Journal of Medicine. 1988 Feb 11; 318(6): 376-378.
The authors assert that "hospices have moved into the mainstream of the health care system." They operate under accreditation standards; receive reimbursement from Medicare, Medicaid, and private health insurance; and, with increasing restrictions on hospital care, provide a unique program of palliative and support services for terminally ill patients. Bulkin and Lukashok contend, however, that few physicians consider hospice care when curative therapy is no longer indicated. The authors develop their assertion that hospice care at home is medically and economically the treatment of choice for the dying patient; explore reasons for physicians' resistance to hospices; clarify the physician's role in the hospice team; and suggest modifications in medical training to change physicians' attitudes toward death, dying, and curative versus palliative care. (KIE abstract)
Aids; Attitudes; Attitudes to Death; Cancer; Death; Family Members; Financial Support; Goals; Health; Health Care; Health Facilities; Health Insurance; Health Personnel; Home Care; Hospices; Insurance; Palliative Care; Patient Care; Patient Care Team; Patients; Physician's Role; Physicians; Prognosis; Risks and Benefits; Standards; Terminal Care; Terminally Ill;
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