A Good Dying

Drs. Harrold and Lynn, Assistant Professors of Medicine and Health Care Sciences at the Center to Improve Care of the Dying at George Washington University, use their expertise on this important topic to edit this timely book on the subject of health care in the last months of life.

Preface

xv

Joanne Lynn

Acknowledgements

xix

Introduction

1

(4)

Joan K. Harrold

PROCEEDINGS

Ars Moriendi: Illuminations on 'The Good Death' from the Arts and Humanities

5

(24)

Sandra Bertman

Hospice: Current Practice, Future Possibilities

29

(4)

Anne Boling

Joanne Lynn

Managed, Capitated Care: Opportunities for Good and Evil

33

(4)

Elise Ayers

Joan K. Harrold

Pain, Symptoms, and Suffering: Possibilities and Barriers

37

(4)

Joan K. Harrold

Visions and Strategies: What Participants and Others Might Do

41

(8)

Joan K. Harrold

Elise Ayers

Joanne Lynn

List of Panelists

45

(4)

INVITED PAPERS

Demography and Epidemiology of Dying in the U.S. with Emphasis on Death of Older Persons

49

(12)

Dwight B. Brock

Daniel J. Foley

A History of the Medicare Hospice Benefit

61

(10)

Thomas Hoyer

Predicting Patient Survival Before and After Hospice Enrollment

71

(18)

Nicholas A. Christakis

Pain and the Barriers to Its Relief at the End of Life: A Lesson for Improving End of Life Health Care

89

(12)

Jane M. Ingham

Kathleen M. Foley

Why Not the Best for the Chronically Ill?

101

(16)

Stanley B. Jones

The Importance of Measuring Quality of Care at the End of Life

117

(22)

Molla S. Donaldson

CURRENT INITIATIVES

An Update on Efforts by the Hospice Community and the National Hospice Organization to Improve Access to Quality Hospice Care

139

(6)

Jay Mahoney

Overview on ABIM End-of-Life Patient Care Project: Caring for the Dying: Identification and Promotion of Physician Competency

145

(6)

Linda L. Blank

Quality End of Life Care: The Case for a MediCaring Demonstration

151

(14)

Joanne Lynn

Anne M. Wilkinson

New Endeavors and Innovative Programs in End of Life Care

165

(16)

Anne M. Wilkinson

Joan K. Harrold

Ilona Kopits

Elise Ayers

Index

181

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