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Previous Volume 339:274-275 July 23, 1998 Number 4 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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By the Committee on Care at the End of Life, Division of Health Care Services, Institute of Medicine. Edited by Marilyn J. Field and Christine K. Cassel. 437 pp. Washington, D.C., National Academy Press, 1997. $34.95. ISBN 0-309-06372-8.

The Institute of Medicine (IOM) study of end-of-life care was initiated by a request to develop guidelines for limiting futile treatments, but it was soon determined that such a task might itself prove futile. Instead, the IOM embarked on a large-scale study of a broader issue — the status of care for the dying. The study sought to evaluate the state of knowledge in the field, methods for assessing outcomes, patients' preferences, and the quality of care and to identify barriers to high-quality care and propose steps for improvement. An impressive amount of thought and energy went into the work . . . [Full Text of this Article]

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