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Previous Volume 334:1740-1742 June 27, 1996 Number 26 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Data from the recent Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment (SUPPORT) indicate that the care of hospitalized dying patients continues to be inadequate.¹ We propose a restructuring of hospital care for dying patients through the introduction of a hospice-like alternative-care unit designed to provide palliative care to dying patients who have been transferred from the intensive care unit (ICU). By functionally integrating these two modes of care, the hospital would legitimize palliative care strategies for critically ill patients, help patients and their families clarify goals, and facilitate a process of shared decision making concerning . . . [Full Text of this Article]

The Problem

The Analogy of Childbirth

A Proposed Model of Alternative Care

Improving Medical Education

Evaluative Research

Overcoming the Dichotomy between Hospital and Hospice

Address reprint requests to Dr. Fins at Box 297, New York Hospital–Cornell Medical Center, 525 E. 68th St., New York, NY 10021.

References

Related Letters:

Hospital Care for Dying Patients
Cassel C. K., Weissman D. E., von Gunten C. F., Neely K. J., Forbes K., Mount B. M., Hill L., Gomez C. F., Herrmann J., Miller F. G., Fins J. J.
Extract | Full Text  
N Engl J Med 1996; 335:1765-1767, Dec 5, 1996. Correspondence

How Should Doctors Respond to Their Calling?
Lynn J., Harrold J., Ayers E., Loxterkamp D.
Extract | Full Text  
N Engl J Med 1997; 336:1679, Jun 5, 1997. Correspondence

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