Health Care Reform's Proposed End-of-Life Provisions

Authors

• Brandy C. Hill
• Nick Lebredo
• Christopher R. Shafer

Publication Date

April 2010

Abstract

End-of-life planning promotes patient autonomy by allowing individual patients to inform and direct care givers and healthcare proxies on their desired level of end-of-life care, where the patient prefers to pass away (whether at home or in a hospital setting), and the methods and levels of pain management that the patient deems desirable. Given that, it is counter-intuitive that a significant majority of American's fail to execute, or fail to properly execute, advance directives. Theauthor’seffortsfocusonwhatcanbedonetoimprove,generally,end-of-lifecare. Tothatend,theauthorsconclude that improvements in end-of-life care must be achieved at three levels: the individual level, the healthcare provider level, andatthegovernmentlevel. Ontheindividuallevel,patientsmustassumegreateraccountabilityfortheirownend-of-life care. Thatentailsmakingone'swishesforend-of-lifecareknowntofamilymembersandhealthcareproviders. Onthe healthcare provider level, improved patient communication and improved delivery of palliative-oriented care are first order initiatives. Finally, the government can play a significant role in improving end-of-life care by collecting better healthcare utilization and cost data on end-of-life experiences, expanding benefits for palliative care services, and promoting the use of advance directives through legislative efforts that include patient education measures.

Recommended Citation

Hill, Brandy C.; Lebredo, Nick; and Shafer, Christopher R. (2010) "Health Care Reform's Proposed End-of-Life Provisions," Florida Public Health Review: Vol. 7, Article 9.
Available at: https://digitalcommons.unf.edu/fphr/vol7/iss1/9