Navigation Links
Patient Wishes Should Guide End-of-Life Care, Researchers Say

THURSDAY, March 21 (HealthDay News) -- Dying patients are happier, less depressed, have less pain and survive longer when their end-of-life care wishes are known and followed, researchers report.

This type of patient-centered care can also help keep health costs down for patients who don't want aggressive treatment, the University of California, Los Angeles (UCLA) research team said.

"You can improve care while reducing cost by making sure that everything you do is centered on what the patients want, what his or her specific goals are and tailor a treatment plan to ensure we provide the specific care he or she wants," Dr. Jonathan Bergman, a clinical scholar and fellow in the urology department, said in a university news release.

In many cases, dying patients are given aggressive treatments that don't help them and result in higher costs, according to the article in the March 20 issue of the journal JAMA Surgery.

Patients who want aggressive care should receive it, but many don't want it and haven't been asked about their wishes, according to Bergman and colleagues, who are testing patient-centered care on cancer patients.

To change the situation, doctors need to be educated about patient-centered care, the researchers said. They also suggested that changes to Medicare should be considered. But this is a highly controversial topic that has been sidelined after recent suggested changes were characterized as creating "death panels."

"Given the disproportionate cost of care at the very end of life, the issue should be revisited," Bergman and colleagues wrote. "Addressing goals of care, not to deny aggressive care to those who want it, but to ensure that we deliver aggressive care only to those who do, reduces costs and improves outcomes."

The study authors noted that, according to the results of a 2004 study, 30 percent of Medicare dollars are spent on the 5 percent of beneficiaries who die each year, and one-third of the costs in the final year of life occur during the final month.

Previous research has shown that patient-centered care can reduce the costs in the last week of life by 36 percent and that patients who receive such care are less likely to die in an intensive care unit.

The researchers said that another way to encourage patient-centered care for dying patients is to include it as an accountability measure in the Joint Commission's annual ranking of U.S. hospitals. The commission accredits hospitals.

More information

The AGS Foundation for Health in Aging has more about end-of-life care.

-- Robert Preidt

SOURCE: University of California, Los Angeles, news release, March 20, 2013

Copyright©2012 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Higher-spending hospitals have fewer deaths for emergency patients
2. Researchers uncover a viable way for colorectal cancer patients to overcome drug resistance
3. Vaccine yielded encouraging long-term survival rates in certain patients with NSCLC
4. Study finds doctors have exaggerated fears when starting patients on insulin
5. Diagnostic Scans Tied to Radiation Risk for Gastro Patients
6. Predictors identified for rehospitalization among post-acute stroke patients
7. Pulse pressure elevation could presage cerebrovascular disease in Alzheimers patients
8. Breast cancer patients suffer treatment-related side effects long after completing care
9. Heart failure patients with diabetes may benefit from higher glucose levels
10. Gastro Woes Often Strike Rheumatoid Arthritis Patients
11. Short Walks May Ease Fatigue in Pancreatic Cancer Patients
Post Your Comments:
Related Image:
Patient Wishes Should Guide End-of-Life Care, Researchers Say
(Date:10/13/2017)... ... October 13, 2017 , ... Yisrayl Hawkins, Pastor and Overseer ... one of the most popular and least understood books in the Holy Scriptures, Revelation. ... descriptions that have baffled scholars for centuries. Many have tossed it off as mere ...
(Date:10/12/2017)... ... 2017 , ... First Healthcare Compliance (FHC), an industry leader ... range of technology and learning solutions at the 68th Annual American Healthcare Association ... held October 14–18, 2017 at the Mandalay Bay Resort in Las Vegas, Nevada. ...
(Date:10/12/2017)... , ... October 12, 2017 , ... The American College ... to Carol Friedman, PhD, FACMI, during the Opening Session of AMIA’s Annual Symposium in ... , In honor of Morris F. Collen, a pioneer in the field of medical ...
(Date:10/12/2017)... ... October 12, 2017 , ... Leading pediatric oncology experts at Children’s National ... 49th Congress of the International Society of Paediatric Oncology (SIOP) Oct. 12-15. ... for Cancer and Blood Disorders at Children’s National, and Stephen P. Hunger, M.D., ...
(Date:10/12/2017)... ... October 12, 2017 , ... Vohra Chief Medical Officer ... physician colleagues, skilled nursing facility medical directors and other clinicians at various events ... Care." , "At many of these conferences we get to educate other physicians, ...
Breaking Medicine News(10 mins):
(Date:10/2/2017)... Oct. 2, 2017 Diplomat Pharmacy, Inc. (NYSE: ... Software and Consulting, LLC , and named its founder ... based in Tennessee , will operate ... expands EnvoyHealth,s service offerings for health care partners to ... "In an interoperable world, technology ...
(Date:10/2/2017)... The Rebound mobile app is poised to become ... tide of prescription drug addiction. The app empowers users to ... stepping down their dosage in a safe, controlled manner while ... the first 100,000 people to sign up will enjoy 3 ... ...
(Date:9/27/2017)... NEW YORK , Sept. 27, 2017  DarioHealth Corp. (NASDAQ: DRIO), ... solutions, today announced that its MyDario product is expected to appear on ... for when The Dr. Oz Show airs in your area: ... The nine-time Emmy award-winning, The Dr. ... ...
Breaking Medicine Technology: