Arcadia Solutions has a very interesting visual look at the course of patients' health care near the end of life, revealing where people die and what kind of services they use in the last year of life.
We will cover this more in a longer post, but one study in a JAMA end-of-life care-themed issue finds that physicians are less likely to receive intense care at the end of life or to die in a hospital. Do as I do, not as I order.
Doctors would seldom chose aggressive end-of-life care for themselves, although they often order it for patients, according to research in PLoS One. Almost all doctors have or would have advance directives declining resuscitation or other heroic measures.
A Journal of the American Medical Association article summarizing a Cochrane review of home palliative care finds that it increases the likelihood of dying at home and having fewer symptoms but cost-effectiveness is unclear.
The Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry. Mr. Roche is available to assist health care companies through consulting arrangements through Roche Consulting, LLC and may be reached at [email protected].