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"Serious and complex illness" in quality improvement and policy reform for end-of-life care.

Abstract：

:Americans are living longer - a mark of success in public health and medical care - but more will live the last few years with progressive illness and disability. The dominant conception of care delivery separates "aggressive" or life-extending care from "palliative" or death-accepting care, with an assumed "transition" between them. The physiology and the experience of this population are mismatched in this model. Here, we propose a more useful category for public policy and clinical quality improvement: persons who will die as a result of "serious and complex illness." Delivery system changes could ensure reliable, continuous, and competent care to this population.

journal_name

J Gen Intern Med

journal_title

Journal of general internal medicine

authors

Lynn J,Forlini JH

doi

10.1046/j.1525-1497.2001.90901.x

subject

Has Abstract

pub_date

2001-05-01 00:00:00

pages

315-9

issue

5

eissn

0884-8734

issn

1525-1497

pii

jgi90901

journal_volume

16

pub_type

杂志文章

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