Navigation Links
Patient Wishes Should Guide End-of-Life Care, Researchers Say
Date:3/21/2013

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:
*Name:
*Comment:
*Email:
Related Image:
Patient Wishes Should Guide End-of-Life Care, Researchers Say
(Date:2/10/2016)... ... February 10, 2016 , ... ... change in their patients. Research shows that the Goal Attainment Scale (GAS) captures ... overcome this challenge and learn more about the Goal Attainment Scale, Education Resources ...
(Date:2/10/2016)... Baltimore, MD (PRWEB) , ... February 10, 2016 ... ... (ADP) to make Everseat digital self-scheduling readily available to physicians. The ... so patients can find and select appointments via Everseat’s free mobile app. , ...
(Date:2/10/2016)... ... February 10, 2016 , ... Workrite Ergonomics, who is celebrating their 25th year ... beginnings to being an internationally recognized leader in their industry. , "We are very ... Lawrence, President of Workrite. “Workrite recognized the importance of good ergonomics before most ...
(Date:2/10/2016)... Puente, California (PRWEB) , ... February 09, 2016 ... ... Medicine students, faculty and staff helped give free oral screenings to 150 children ... Feb. 5, 2016. , The College of Dental Medicine joined Chinese American Dental ...
(Date:2/10/2016)... , ... February 10, 2016 , ... It’s that time ... Davis, the new president of the Interscholastic Athletic Association of Maryland (IAAM), Hall of ... how quickly fitness goals are cast aside. , That’s why one of her first ...
Breaking Medicine News(10 mins):
(Date:2/9/2016)... "Company") (NASDAQ: UNIS ; ASX: UNS), a developer and ... for the second quarter of fiscal 2016 (three months ended December ... Financial Results for the Second Quarter of Fiscal 2016 ... the second quarter of fiscal 2016 was $4.5 million, compared to ... customers for the second quarter of fiscal 2016 were $17.8 million, ...
(Date:2/9/2016)... QGEN ; Frankfurt Prime ... Genomics to develop and promote comprehensive solutions for ... --> QGEN ; Frankfurt Prime Standard: QIA) ... develop and promote comprehensive solutions for next-generation sequencing ... QIAGEN N.V. (NASDAQ: QGEN ; Frankfurt Prime ...
(Date:2/9/2016)... , February 9, 2016 Amarantus ... focused on developing products for Regenerative Medicine, Neurology and ... featured presenting company at Source Capital Group,s 2016 Disruptive ... 10-11, 2016 in New York City ... February 10, 2016 at 12:30 pm by Gerald ...
Breaking Medicine Technology: