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Publisher: BioMed Central
Journal: Israel Journal of Health Policy Research
Languages: English
Types: Article
Subjects: Commentary, RA

Classified by OpenAIRE into

mesheuropmc: humanities, health care economics and organizations
With vast improvements in healthcare in recent decades, people are living longer but often with higher rates of morbidity and chronic illnesses. This has resulted in a higher proportion of the population who may benefit from early end-of-life 'conversation and planning', but also gives healthcare professionals more time during which these discussions are relevant, as people live longer with their chronic diseases. A survey conducted by Lifshitz et al (Isr J Health Policy Res 5:6, 2016) sought to assess physician awareness and willingness to discuss designating a proxy decision-maker with patients, in order to aid end-of-life care in the event that the patient is rendered unable to make or communicate these decisions later in life. Their article suggests that proxy decision-maker designation is only one aspect of end-of-life care; a challenging area littered with ethical and moral dilemmas. Without early, open and frank discussions with patients regarding their wishes at the end of life, proxy decision-makers may be in no better position than physicians or a court appointed proxy to make decisions in the patients' best interests/benefits. This commentary also touches upon the use of health and care passports being developed or in early phases in the United Kingdom, and whether these may be utilised in the field of palliative care in Israel.
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    • 1. ABC of palliative care. Principles of palliative care and pain control BMJ1997; 315. BMJ. 1997;315:801. http://dx.doi.org/10.1136/bmj.315.7111.801.
    • 2. Lifshitz G, Cohen MJ, Shmilovitz H, et al. Physician-facilitated designation of proxy decision-makers: family physician perceptions. Isr J Health Policy Res. 2016;5:6.
    • 3. World Health Organization. World Health Report 2003-Shaping the future. Geneva: WHO; 2003.
    • 4. NHS England. Enhanced service specification. Risk profiling and care management scheme. Secondary Enhanced service specification: risk profiling and care management scheme. 2013. http://www.england.nhs.uk/ wp-content/uploads/2013/03/ess-risk-profiling.pdf.
    • 5. Kinzbrunner and Kinzbrunner. Spiritual care in Israel: the future is now. Israel JHealth Policy Res. 2014;3:32.
    • 6. Cassileth BR. Palliative care: Progress, nees and challenges. Israel J Health Policy Res. 2012;1:10. doi:10.1186/2045-4015-1-10.
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