Annals of Emergency Medicine
Volume 54, Issue 1 , Pages 86-93.e1, July 2009

Am I Doing the Right Thing? Provider Perspectives on Improving Palliative Care in the Emergency Department

  • Alexander K. Smith, MD, MS, MPH

      Affiliations

    • Division of General Medicine and Primary Care, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA
    • Division of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute and Brigham and Women's Hospital, Boston, MA
    • Dr. Smith is now with Division of Geriatrics, University of California, San Francisco, San Francisco, CA.
    • Corresponding Author InformationAddress for correspondence: Alexander K. Smith, MD, MS, MPH, Division Geriatrics, UCSF, 4150 Clement St (181G), San Francisco, CA 94121; 415-221-4810 extension 4684, fax: 415-750-6641
    • ,
  • Jonathan Fisher, MD

      Affiliations

    • Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA
    • ,
  • Mara A. Schonberg, MD, MPH

      Affiliations

    • Division of General Medicine and Primary Care, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA
    • ,
  • Daniel J. Pallin, MD, MPH

      Affiliations

    • Department of Emergency Medicine, Brigham and Women's Hospital, and Division of Emergency Medicine, Children's Hospital Boston, Boston, MA
    • ,
  • Susan D. Block, MD

      Affiliations

    • Division of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute and Brigham and Women's Hospital, Boston, MA
    • ,
  • Lachlan Forrow, MD

      Affiliations

    • Division of General Medicine and Primary Care, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA
    • ,
  • Russell S. Phillips, MD

      Affiliations

    • Division of General Medicine and Primary Care, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA
    • ,
  • Ellen P. McCarthy, PhD, MPH

      Affiliations

    • Division of General Medicine and Primary Care, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA

Received 30 April 2008; received in revised form 11 August 2008; accepted 22 August 2008. published online 20 October 2008.

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 Provide feedback on this article at the journal's Web site, www.annemergmed.com.

 Supervising editor: Rita K. Cydulka, MD, MS

 Author contributions: AKS had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. AKS, JF, MAS, DJP, SDB, LF, RSP, and EPM were responsible for study concept and design and revision of the article for important intellectual content. AKS acquired the data. AKS, JF, and MAS were responsible for analysis and interpretation of data. AKS drafted the article. LF obtained funding. AKS supervised the study. AKS takes responsibility for the paper as a whole.

 Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article, that might create any potential conflict of interest. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement. This study was performed in its entirety while Dr. Smith was a general medicine fellow at Beth Israel Deaconess Medical Center. This research was supported by The Julie Henry Fund at Beth Israel Deaconess Hospital. Dr. Smith was supported by an institutional National Research Service Award, #5 T32 HP11001-19.

 Publication date: Available online October 18, 2008.

 Reprints not available from the authors.

PII: S0196-0644(08)01647-8

doi:10.1016/j.annemergmed.2008.08.022

Annals of Emergency Medicine
Volume 54, Issue 1 , Pages 86-93.e1, July 2009

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