Journal of palliative medicine
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Multicenter Study
End-of-life curriculum reform: outcomes and impact in a follow-up study of internal medicine residency programs.
In 1998 we initiated a pilot project to evaluate the feasibility of recruiting and training internal medicine residency programs in methods designed to enhance and integrate end-of-life (EOL) instruction and assessment into their curriculum. ⋯ The study suggests that focused training in EOL teaching methods and institutional change strategies can facilitate EOL curriculum reform.
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Comparative Study
Cash and compassion: profit status and the delivery of hospice services.
To evaluate the relationship of hospice profit status to patient selection and service delivery. ⋯ For-profit hospices compared to not-for profit hospices serve a higher percentage of persons with noncancer diagnoses, residents of long-term care, and persons with government insurance. Differences in patterns of nursing services among hospices were related to patient characteristics. The potential availability of complex palliative services did not differ by profit status.
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Editorial Comment
For profit vs. not-for-profit hospice: it is the quality that counts.
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Louisiana State Penitentiary (Angola) has a large population of aging men serving long sentences with little hope of reprieve. Eighty-five percent of the 5108 inmates currently incarcerated at Angola are expected to die there. ⋯ Consultation, training and support have been provided by the community hospice. Care is provided within the prison infirmary, by prison staff and inmate volunteers.