ArticleJournal of general internal medicine2001
"Serious and complex illness" in quality improvement and policy reform for end-of-life care.
Article in Journal of general internal medicine, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed.
- Screening and Needs Assessment Tools for Palliative Care in Patients with Cardiovascular Disease: Narrative Review.Current heart failure reports · 2025Review
- Palliative care competencies for geriatricians across Europe: a Delphi consensus study.European geriatric medicine · 2021Article
- Patient Self-Defined Goals: Essentials of Person-Centered Care for Serious Illness.The American journal of hospice & palliative care · 2018Article
- Communicating prognostic uncertainty in potential end-of-life contexts: experiences of family members.BMC palliative care · 2016Article
- Hospices' enrollment policies may contribute to underuse of hospice care in the United States.Health affairs (Project Hope) · 2012Article
- Improving access to hospice care: informing the debate.Journal of palliative medicine · 2008Article
- Changes in the use of do-not-resuscitate orders after implementation of the Patient Self-Determination Act.Journal of general internal medicine · 2003Article
- Planning for death but not serious future illness: qualitative study of housebound elderly patients.BMJ (Clinical research ed.) · 2002Article
- Financing of care for fatal chronic disease: opportunities for Medicare reform.The Western journal of medicine · 2001Article
- Heart out of darkness: learning from end-of-life care.Journal of general internal medicine · 2001Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
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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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.