I saw this past Senate hearing by Atul Gawande where he suggested the following measures
"Our goal therefore must be to assure all Americans that when they face a serious illness, their care will honor their personal goals and priorities. Achieving this requires ensuring that:
Everyone 18 or older has designated a health care decision-maker (health care proxy);
Everyone 18 or older has had a conversation (and continues to have conversations) with their proxy to communicate their goals, values, and preferences for care at the end of life;
All clinicians have appropriate training to facilitate high-quality communication with patients on advance care planning and serious illness;
Everyone facing a serious illness has had a high-quality, informed goals and values conversation with their care team;
All health care providers have systems in place to elicit and document goals, values, and preferences for patients with serious illness;
All health care providers have systems in place to share patient goals, values, and preferences across care settings, to ensure they are accessible regardless of place of care."
I was just wondering from a healthcare system standpoint, what might be the benefits for these items should they exist as a policy measure in the United States. How would it change your work in general?
Side note it sounds so obvious to have something like this, any reason why we don't?
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