Cited by 335Palliative Care and End-of-Life IssuesHealthcare Policy and ManagementHealthcare cost, quality, practices

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The Economics of Dying -- The Illusion of Cost Savings at the End of Life

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Emanuel, Ezekiel J., Emanuel, Linda L.·1994·New England Journal of Medicine

DOI 10.1056/nejm199402243300806

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Abstract

For more than a decade, health policy analysts have noted -- and some have decried -- the high cost of dying1–7. With the acceleration of pressures on health care costs and calls for reform, considerably more attention has been focused on proposals to control costs at the end of life8. One proposal would require persons enrolling in a health care plan to complete an advance directive9,10. Others would require hospitals to establish guidelines to identify and reduce futile care11–13. Similar ideas have been expressed by members of President Bill Clinton's Health Care Task . . .

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Authors: Emanuel, E. J., & Emanuel, L. L.
Affiliations: Harvard University (US)
ORCID: Emanuel, Ezekiel J.
Emanuel, Linda L.
Venue: New England Journal of Medicine
Publisher: Massachusetts Medical Society
Published: 1994-02-24
Volume: 330
Issue: 8
Pages: 540-544
ISSN: 0028-4793 (ISSN-L)
1533-4406
DOI: 10.1056/nejm199402243300806
OpenAlex: W2314987647
Cited by: 335
References: 51
Citations by year: 2025: 2 · 2024: 2 · 2023: 4 · 2022: 5 · 2021: 8 · 2020: 7 · 2019: 4 · 2018: 3 · 2017: 8 · 2016: 7 · 2015: 11 · 2014: 9 · 2013: 10 · 2012: 7
FWCI: 9.99
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: New England Journal of Medicine (publishedVersion)
PubMed (publishedVersion)
DigitalGeorgetown (Georgetown University Library) (submittedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
Health Sciences › Health Professions › General Health Professions › Healthcare cost, quality, practices
Keywords: end-of-life care, health care costs, cost reduction, advance directives, futility, health care cost containment, health policy, terminal illness
MeSH terms: Aged, Health Expenditures, Medicare, Health Services Research, Home Care Services, Hospitalization, Humans, United States, Advance Directives, Treatment Outcome, Cost Savings, Hospice Care

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The Economics of Dying -- The Illusion of Cost Savings at the End of Life

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