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Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians.
CONTEXT Primary care physicians report high levels of distress, which is linked to burnout, attrition, and poorer quality of care. Programs to reduce burnout before it results in impairment are rare;… Expand
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… Expand
Proactive palliative care in the medical intensive care unit: Effects on length of stay for selected high-risk patients
- S. Norton, L. Hogan, R. Holloway, H. Temkin-Greener, Marcia Buckley, T. Quill
- Critical care medicine
- 1 June 2007
Objective:The purpose of this study was to examine the effect of proactive palliative care consultation on length of stay for high-risk patients in the medical intensive care unit (MICU). Design:A… Expand
Physician Recommendations and Patient Autonomy: Finding a Balance between Physician Power and Patient Choice
Patients faced with serious medical decisions are subject to being over- or under-influenced by physicians. Imagine a patient who is admitted to an intensive care unit with a chronic, progressive… Expand
Death and dignity. A case of individualized decision making.
- T. Quill
- The New England journal of medicine
Communicating evidence for participatory decision making.
CONTEXT Informed patients are more likely to actively participate in their care, make wiser decisions, come to a common understanding with their physicians, and adhere more fully to treatment;… Expand
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
- 15 November 2000
Discussions about end-of-life issues are difficult for clinicians to initiate. Patients, their families, and clinicians frequently collude to avoid mentioning death or dying, even when the patient's… Expand
Palliative options of last resort: a comparison of voluntarily stopping eating and drinking, terminal sedation, physician-assisted suicide, and voluntary active euthanasia.
Palliative care is generally agreed to be the standard of care for the dying, but there remain some patients for whom intolerable suffering persists. In the face of ethical and legal controversy… Expand
The rule of double effect--a critique of its role in end-of-life decision making.
According to the ethical principle known as the “rule of double effect,” effects that would be morally wrong if caused intentionally are permissible if foreseen but unintended. This principle is… Expand
Palliative care consultation teams cut hospital costs for Medicaid beneficiaries.
Patients facing serious or life-threatening illnesses account for a disproportionately large share of Medicaid spending. We examined 2004-07 data to determine the effect on hospital costs of… Expand