Quality of Care for Vulnerable Older Patients

  1. Takahiro Higashi, MD, PhD;
  2. Neil Wenger, MD, MPH; and
  3. Paul Shekelle, MD, PhD
  1. From Kyoto University Department of Epidemiology and Healthcare Research, Kyoto 606-8501, Japan; RAND, Santa Monica, CA 90407; and Greater Los Angeles Veterans Affairs Healthcare System, Los Angeles, CA 90073.

    IN RESPONSE:

    We interpret the findings very differently from the way Dr. Garrett and colleagues did, although we agree with their conclusion that there is a strong argument for palliative medicine for many of the patients in the study sample. Many of the quality indicators in the ACOVE measurement set focused on pain and end-of-life care.

    Dr. Garrett and colleagues state that there is …

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