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February 2006

ShareIntroduction: Papers from the National Institutes of Health State-of-the-Science Conference on Improving End-of-Life Care

This introduces conference topics:

  • What defines the transition to end of life?
  • What outcome variables are important indicators for the quality of the end-of-life experience for the dying person and the surviving loved ones?
  • What patient, family and healthcare system factors are associated with improved or worsened outcomes?
  • What processes and interventions are associated with improved or worsened outcomes?
  • What are future research directions for improving end-of-life care?

Conference findings: 

  • Ambiguity surrounds the definition of end-of-life care, which leads to confusions
  • End-of-life care is fragmented among providers
  • Current care includes untested interventions
  • Demographic subgroups experience end-of-life differently and the differences remain poorly understood
  • Medicare hospice benefits limit the range of interventions needed by many persons at end of life

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