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  Vol. 299 No. 4, January 30, 2008 TABLE OF CONTENTS
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Improving Care for the End of Life: A Sourcebook for Health Care Managers and Clinicians

By Joanne Lynn, Janice Schuster, Anne Wilkinson, and Lin Noyes Simon.
2nd ed, 464 pp, $49.95.
New York, NY, Oxford University Press, 2007.
ISBN-13 978-0-1953-1042-9.

JAMA. 2008;299(4):462.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

As the authors claim in their preface, "this sourcebook features . . . strategies to improve care, with a focus on those that any manager of any healthcare system can try almost immediately" (p xi). This is not a vain promise but one inherently kept in the pages that follow:

Part I . . . suggests quality improvement methods that every organization can use right now; Part II focuses on changes that patients and families often demand or would benefit from; Part III describes environments that encourage better practice [such as taking heed of caregivers and having in-house palliative care services or units from which consultations can readily be obtained]; and Part IV discusses opportunities for change in caring for patients with specific diseases. (p xii)

Health care professionals are encouraged to be sensitive to the trajectories typically followed by persons with life-threatening illnesses, ie, a more or less acceptable quality of life followed by a relatively short . . . [Full Text of this Article]

Ernlé W. D. Young, PhD, Reviewer
Stanford University (Emeritus)
eyoung@stanford.edu







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