title: Palliative and end of life care.
abstract: Health care provided in the final year of life is typically costly and often delivers unintended outcomes. High value can be defined for end of life care. High value clinical practices exist for end of life care and a common set of high value processes can be identified. The current system structure of healthcare delivery does not consistently support those high value processes. An improved organizational schema could foster sustained delivery of high value delivery operations. The healthcare ecosystem needs to evolve to provide appropriate incentives and support for an appropriately designed care system.
authors.affiliation: Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, USA. Stroebel.Robert@mayo.edu
authors.forename: Robert
authors.initials: R
authors.lastname: Stroebel
authors.forename: Timothy
authors.initials: T
authors.lastname: Moynihan
mesh_terms: D003695:Delivery of Health Care / Q000458:organization & administration; D006801:Humans; D010166:Palliative Care / Q000191:economics; D019452:Terminally Ill