Frontiers of Health Services Management

The quarterly magazine of the American College of Healthcare Executives, featuring analysis of trends impacting the healthcare industry.

Articles from Vol. 27, No. 3, Spring

A Good Death: Changing the Script for End-of-Life Care
HAVING BEEN ENGAGED in the delivery of end-of-life care for more than 25 years, I am equally baffled and elated at this juncture. I am baffled by knowing just how long it has taken for medicine to recognize the value of palliative care, and I am elated...
Death as a Life Event: Better Palliative and End-of-Life Care
AS A LONG TIME end-of-life care executive, I remember well the year 1994, when we witnessed the willful Oregon voters and their choice to endorse physician-assisted suicide in the Death with Dignity Act. Some executives felt that the debate that ensued...
Editorial
My dog sitter, a 19-year-old nursing student and nurse's aide, stopped by recently to be paid for recent care of my dogs. Our conversation turned to her career and healthcare.She talked about her job in the local nursing facility, amazing me with her...
Ethical Issues Arising from Variation in Health Services Utilization at the End of Life
SUMMARY *Research on health services delivery, particularly at the end of life, has demonstrated that more care does not necessarily lead to better technical quality, patient satisfaction, or outcomes. These findings raise three ethical issues: (1) justice...
Invictus: Increasing Patient Choice in Advanced Illness and End-of-Life Care
Humans' knowledge of our own mortality creates a conflict with our inborn desire to live. Cultures have grappled with this conflict throughout history. In The Epic of Gilgamesh, one of the earliest known works of literature, the title character wrestles...
Policy Statement: Decisions near the End of Life
August 1994 November1999 (revised) November2004 (revised) November2009 (revised)STATEMENT OF THE ISSUEEnd-of-life decision making and care are important aspects of the delivery of healthcare. Medical technology has shaped the circumstances of death,...
Transitions in End-of-Life Care: The Oregon Trail
SUMMARY *Hospitals can create an environment that supports patients, families, and healthcare professionals so that they are better able to recognize the best way to care for each patient during times of transition. This article highlights some of the...