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The Economics of Dying -- The Illusion of Cost Savings at the End of Life
Open accessAbstract
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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“in other life-threatening illnesses, users of hospice care and their families report improved symptom control and a high level of satisfaction with the dying process [12].”
From Should there be an expanded role for palliative care in end-stage renal disease? (2010) · cites this paper as [12]
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Metadata
- Authors
- Emanuel, E. J., & Emanuel, L. L.
- Affiliations
- Harvard University (US)
- 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
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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