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Cicely SaundersSelected Writings 1958-2004$
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Cicely Saunders

Print publication date: 2006

Print ISBN-13: 9780198570530

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780198570530.001.0001

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Evaluation of Hospice Activities

Evaluation of Hospice Activities

First published as a letter in Journal of Chronic Disease, vol. 37, no. 11 (1984), p. 871.

(p.203) 29 Evaluation of Hospice Activities
Cicely Saunders

Cicely Saunders

Oxford University Press

A letter from 1984, reproduced here from the Journal of Chronic Diseases, was written in response to the appearance of early findings from the important National Hospice Study in the United States. It criticises two aspects of ‘hospice’ in the USA: first, the lack of physician involvement and second, the demand that the patient and family must know of the terminal nature of their illness before entering a reimbursed hospice programme. The letter suggests that ‘some experiences are impossible to evaluate or quantify’, whilst at the same time endorsing the need to continue research in this field. In particular, it urges that people should not become preoccupied with financial considerations at the expense of other factors when evaluating hospice care.

Keywords:   Journal of Chronic Diseases, reimbursed hospice programme, physician involvement, financial considerations, USA

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