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A Call to Action

A Call to Action VIEWPOINT Improving Value by Emphasizing Patient-Centered Care at the End of Life EDICAL CARE ate Medical Education will phase in Isakson, and which enjoyed bipar- during life’s fi- implementation of the Next Accredi- tisan support, were derided as so- nal stages is of- tation System. It aims “to enhance called death panels and hastily re- ten poorly coor- the ability of the peer-review sys- moved from discussion in the public dinated and tem to prepare physicians for prac- sphere. Given the disproportionate 1-3 inattentive to patient preferences, tice in the 21st century, to acceler- cost of care at the very end of life, typically owing to a failure to ascer- ate the [Accreditation Council for the issue should be revisited. Ad- tain each individual’s goals. End-of- Graduate Medical Education’s] dressing goals of care, not to deny life care also consumes substantial movement toward accreditation on aggressive care to those who want health care dollars. For example, the basis of educational outcomes, it but to ensure that we deliver ag- 30% of Medicare resources are ex- and to reduce the burden associ- gressive care only to those who do, pended on the 5% of beneficiaries ated with the current structure http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Surgery American Medical Association

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Publisher
American Medical Association
Copyright
Copyright 2013 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6254
eISSN
2168-6262
DOI
10.1001/jamasurg.2013.1568
pmid
23552885
Publisher site
See Article on Publisher Site

Abstract

VIEWPOINT Improving Value by Emphasizing Patient-Centered Care at the End of Life EDICAL CARE ate Medical Education will phase in Isakson, and which enjoyed bipar- during life’s fi- implementation of the Next Accredi- tisan support, were derided as so- nal stages is of- tation System. It aims “to enhance called death panels and hastily re- ten poorly coor- the ability of the peer-review sys- moved from discussion in the public dinated and tem to prepare physicians for prac- sphere. Given the disproportionate 1-3 inattentive to patient preferences, tice in the 21st century, to acceler- cost of care at the very end of life, typically owing to a failure to ascer- ate the [Accreditation Council for the issue should be revisited. Ad- tain each individual’s goals. End-of- Graduate Medical Education’s] dressing goals of care, not to deny life care also consumes substantial movement toward accreditation on aggressive care to those who want health care dollars. For example, the basis of educational outcomes, it but to ensure that we deliver ag- 30% of Medicare resources are ex- and to reduce the burden associ- gressive care only to those who do, pended on the 5% of beneficiaries ated with the current structure

Journal

JAMA SurgeryAmerican Medical Association

Published: Mar 1, 2013

References