WIHI: Quality Care During Advanced Illness: What Do Patients Want That Works?

Date: October 8, 2009


  • Diane Meier, Director, Center to Advance Palliative Care
  • Jim Conway, Senior Vice President, Institute for Healthcare Improvement
Between the care that patients and families want when faced with advanced illness, and what is often made available, “lies not just a gap but a chasm.” Those words, associated with the IOM’s groundbreaking blueprint, Crossing the Quality Chasm, are as apt a rallying cry as ever for transforming US health care, including what patients need at the end of their lives. Yet, patients and families often find themselves at odds with or abandoned by their medical providers at this stage of their care, forced to seek others who will respect their wishes.


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