Health Affairs Briefing: Advanced Illness and End-of-Life Care

Few areas of health care are as personal, or as fraught, as care for people with serious illnesses who are approaching death. At a point in their lives when their needs are often as much social and spiritual as they are medical, people are confronted with a fragmented, rescue-driven health care system that produces miraculous results but also disastrous failures. As the nation's population of individuals over the age of 65 is expected to reach 84 million by 2050, addressing these challenges becomes increasingly important, requiring coordination across multiple sectors and levels of government. Innovations are needed to produce improvements in care delivery; better communication between clinicians, patients and families; greater uptake of advance care planning tools; and payment systems a...

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