Advance directives and cost savings: Greater clarity and perpetual confusion

Archives of Internal Medicine

Volumn 172, Issue 3, 2012, Pages 266-268

  Halpern, Scott D ^a   Emanuel, Ezekiel J ^a,b  

^a UNIVERSITY OF PENNSYLVANIA   (United States)

^b UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

HEALTH CARE COST; HEALTH CARE POLICY; MEDICAL DECISION MAKING; MEDICAL SERVICE; NOTE; PRIORITY JOURNAL; QUALITY OF LIFE; TERMINAL CARE;

ADVANCE DIRECTIVES; COST SAVINGS; HUMANS;

EID: 84857404020     PISSN: 00039926     EISSN: 15383679     Source Type: Journal    
DOI: 10.1001/archinternmed.2011.1399     Document Type: Note

References (21)

1. Kutner L. Due process of euthanasia: the living will-a proposal. Indiana Law J. 1969;44:539-554.
2. In re Quinlan 70 NJ 10. IN; 1976.
3. Emanuel LL, Emanuel EJ. The medical directive: a new comprehensive advance care document. JAMA. 1989;261(22):3288-3293. (Pubitemid 19143553)
4. Wright AA, Zhang BH, Ray A, et al. Associations between end-of-life discussions, patient mental health, medical care near death, and caregiver bereavement adjustment. JAMA. 2008;300(14):1665-1673.
5. Callahan D. Controlling the costs of health care for the elderly: fair means and foul. N Engl J Med. 1996;335(10):744-746. (Pubitemid 26287366)
6. Emanuel EJ. Cost savings at the end of life: what do the data show? JAMA. 1996; 275(24):1907-1914. (Pubitemid 26196452)
7. Emanuel EJ, Emanuel LL. The economics of dying: the illusion of cost savings at the end of life. N Engl J Med. 1994;330(8):540-544.
8. Kelley AS, Ettner SL, Morrison RS, Du QL, Wenger NS, Sarkisian CA. Determinants of medical expenditures in the last 6 months of life. Ann Intern Med. 2011; 154(4):235-242.
9. Zhang BH, Wright AA, Huskamp HA, et al. Health care costs in the last week of life: associations with end-of-life conversations. Arch Intern Med. 2009;169 (5):480-488.
10. Nicholas LH, Langa KM, Iwashyna TJ, Weir DR. Regional variation in the association between advance directives and end-of-life Medicare expenditures. JAMA. 2011;306(13):1447-1453.
11. Riley GF, Lubitz JD. Long-term trends in Medicare payments in the last year of life. Health Serv Res. 2010;45(2):565-576.
12. Silveira MJ, Kim SYH, Langa KM. Advance directives and outcomes of surrogate decision making before death. N Engl J Med. 2010;362(13):1211-1218.
13. Degenholtz HB, Rhee Y, Arnold RM. Brief communication: the relationship between having a living will and dying in place. Ann Intern Med. 2004;141(2): 113-117.
14. Teno JM, Gruneir A, Schwartz Z, Nanda A, Wetle T. Association between advance directives and quality of end-of-life care: a national study. J Am Geriatr Soc. 2007;55(2):189-194. (Pubitemid 46184393)
15. Freedman B. Equipoise and the ethics of clinical research. N Engl J Med. 1987; 317(3):141-145. (Pubitemid 17092151)
16. Halpern SD. Evidence-based equipoise and research responsiveness. Am J Bioeth. 2006;6(4):1-4.
17. Karlawish JHT, Lantos J. Community equipoise and the architecture of clinical research. Camb Q Healthc Ethics. 1997;6(4):385-396. (Pubitemid 127685122)
18. Ubel PA, Silbergleit R. Behavioral equipoise: a way to resolve ethical stalemates in clinical research. Am J Bioeth. 2011;11(2):1-8.
19. Miller FG, Joffe S. Equipoise and the dilemma of randomized clinical trials. N Engl J Med. 2011;364(5):476-480.
20. Senate Bill 466: Medicare End-of-Life Care Planning Act of 2007. http://www.opencongress.org/bill/110-s466/show. Accessed October 13, 2011.
21. Reinhardt UE. End-of-life care: where ethics meet economics. http://economix .blogs.nytimes.com/2009/08/14/end-of-life-care-where-ethics- meeteconomics/. Accessed October 13, 2011.