Generalist plus Specialist Palliative Care - Creating a More Sustainable Model

From the Department of Medicine, Palliative Care Division, University of Rochester Medical Center, Rochester, NY (T.E.Q.)
New England Journal of Medicine (Impact Factor: 54.42). 03/2013; 368(13). DOI: 10.1056/NEJMp1215620
Source: PubMed

ABSTRACT Palliative care, a medical field that has been practiced informally for centuries, was recently granted formal specialty status by the American Board of Medical Specialties. The demand for palliative care specialists is growing rapidly, since timely palliative care consultations have been shown to improve the quality of care, reduce overall costs, and sometimes even increase longevity.1,2 The field grew out of a hospice tradition in which palliative treatment was delivered only at the end of life, but its role has expanded so that palliative care specialists now also provide palliative treatment in the earlier stages of disease alongside disease-directed . . .

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