Toward Evidence-Based End-of-Life Care.
N Engl J Med. November 2015;373(21):2001-3.
Scott D Halpern1 1 From the Fostering Improvement in End-of-Life Decision Science (FIELDS) program; the Leonard Davis Institute of Health Economics; the Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine; the Department of Medical Ethics and Health Policy; and the Department of Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia.
Abstract
The disquieting patterns of end-of-life care in the United States have been well documented. In the last month of life, one in two Medicare beneficiaries visits an emergency department, one in three is admitted to an intensive care unit, and one in five has inpatient surgery. But one of the most sobering facts is that no current policy or practice designed to improve care for millions of dying Americans is backed by a fraction of the evidence that the Food and Drug Administration would require to approve even a relatively innocuous drug. For example, more than two thirds of U.S. . . .
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VSPN AOW : Toward Evidence-Based End...
