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

Authors
  • Lynn, J
  • Forlini, J H
Type
Published Article
Journal
Journal of general internal medicine
Publication Date
May 01, 2001
Volume
16
Issue
5
Pages
315–319
Identifiers
PMID: 11359550
Source
Medline
Keywords
License
Unknown

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.

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