• Publications
  • Influence
Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians.
TLDR
Participation in a mindful communication program was associated with short-term and sustained improvements in well-being and attitudes associated with patient-centered care, and these findings warrant randomized trials involving a variety of practicing physicians.
Generalist plus specialist palliative care--creating a more sustainable model.
The U.S. palliative care model adds another layer of specialized care to a complex, expensive health care environment, and there are too few palliative care specialists to meet demand. Distinguishing
Proactive palliative care in the medical intensive care unit: Effects on length of stay for selected high-risk patients
TLDR
Proactive palliative care consultation was associated with a significantly shorter MICU length of stay in this high-risk group without any significant differences in mortality rates or discharge disposition.
Physician Recommendations and Patient Autonomy: Finding a Balance between Physician Power and Patient Choice
TLDR
Patients faced with serious medical decisions are subject to being over- or under-influenced by physicians, and data from SUPPORT suggest that the dominant mode of decision making in acute care hospitals may still be the paternalism evidenced by Dr. Able.
Palliative options of last resort: a comparison of voluntarily stopping eating and drinking, terminal sedation, physician-assisted suicide, and voluntary active euthanasia.
TLDR
In the face of ethical and legal controversy about the acceptability of physician-assisted suicide and voluntary active euthanasia, voluntarily stopping eating and drinking and terminal sedation have been proposed as ethically superior responses of last resort that do not require changes in professional standards or law.
Death and dignity. A case of individualized decision making.
  • T. Quill
  • Medicine
    The New England journal of medicine
  • 1991
Communicating evidence for participatory decision making.
TLDR
There is a paucity of evidence to guide how physicians can most effectively share clinical evidence with patients facing decisions, so means of accomplishing 5 communication tasks to address in framing and communicating clinical evidence are described.
Perspectives on care at the close of life. Initiating end-of-life discussions with seriously ill patients: addressing the "elephant in the room".
  • T. Quill
  • Medicine, Psychology
    JAMA
  • 15 November 2000
TLDR
Starting end-of-life discussions earlier and more systematically could allow patients to make more informed choices, achieve better palliation of symptoms, and have more opportunity to work on issues of life closure.
The Impact of a Program in Mindful Communication on Primary Care Physicians
TLDR
Interventions to improve the quality of primary care practice and practitioner well-being should promote a sense of community, specific mindfulness skills, and permission and time devoted to personal growth.
Palliative care consultation teams cut hospital costs for Medicaid beneficiaries.
TLDR
Patients facing serious or life-threatening illnesses account for a disproportionately large share of Medicaid spending, and it is estimated that the reductions in Medicaid hospital spending in New York State could eventually range from $84 million to $252 million annually if every hospital with 150 or more beds had a fully operational palliative care consultation team.
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