Research Topics
| Muriel R GillickSummaryAffiliation: Massachusetts General Hospital Country: USA Publications
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Detail Information
Publications
The technological imperative and the battle for the hearts of AmericaMuriel R Gillick
Department of Ambulatory Care and Prevention, Harvard Medical School Harvard Pilgrim, Boston, MA 02215, USA
Perspect Biol Med 50:276-94. 2007..In the adoption phase, the crucial lever is the decision by the Medicare program to reimburse for the proposed new technology. Finally, in the dissemination phase, regular reevaluation of technology is essential...
No place like the hospitalMuriel R Gillick
Harvard Pilgrim Health Care Institute, Boston, Massachusetts 02215, USA
J Pain Symptom Manage 42:643-8. 2011..To the extent that such efforts have been successful, they may result in increasing demand for the hospital as the site for terminal care in the future...
The challenge of applying advance directives in hospital practiceMuriel R Gillick
Department of Population Medicine, Harvard Pilgrim Health Care Institute Harvard Medical School, Boston, MA 02215, USA
Hosp Pract (1995) 38:45-51. 2010..Translating advance directives into practice is a challenging and complex process that is best approached carefully and systematically...
Medicine as ecocultureMuriel R Gillick
Harvard Medical School and Harvard Pilgrim Health Care Institute, 133 Brookline Avenue, Boston, MA 02215, USA
Ann Intern Med 151:577-80. 2009....
Controlling off-label medication useMuriel R Gillick
Harvard Medical School Harvard Pilgrim, Boston, Massachusetts, USA
Ann Intern Med 150:344-7. 2009..The CMS would pay only for off-label uses for which there is adequate evidence in its National Coverage Determination process. Other insurance companies would probably adopt the recommendations of CMS...
Decision making near life's end: a prescription for changeMuriel R Gillick
Department of Ambulatory Care and Prevention, Harvard Medical School, Boston, Massachusetts 02215, USA
J Palliat Med 12:121-5. 2009..Each of these issues is described...
Molecular medicine, the Medicare drug benefit, and the need for cost controlMuriel R Gillick
Department of Ambulatory Care and Prevention, Harvard Medical School Harvard Pilgrim, Boston, Massachusetts 02215, USA
J Am Geriatr Soc 54:1442-6. 2006....
The use of advance care planning to guide decisions about artificial nutrition and hydrationMuriel R Gillick
Department of Ambulatory Care and Prevention, Harvard Medical School Harvard Pilgrim, 133 Brookline Avenue, Boston, MA 02215, USA
Nutr Clin Pract 21:126-33. 2006....
Randomized controlled trial of a video decision support tool for cardiopulmonary resuscitation decision making in advanced cancerAngelo E Volandes
Massachusetts General Hospital, General Medicine Unit, 50 Staniford St, 9th Floor, Boston, MA 02114, USA
J Clin Oncol 31:380-6. 2013..Decision making regarding cardiopulmonary resuscitation (CPR) is challenging. This study examined the effect of a video decision support tool on CPR preferences among patients with advanced cancer...
Health literacy not race predicts end-of-life care preferencesAngelo E Volandes
General Medicine Unit, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
J Palliat Med 11:754-62. 2008..Several studies have reported that African Americans are more likely than whites to prefer aggressive treatments at the end of life...
Video decision support tool for advance care planning in dementia: randomised controlled trialAngelo E Volandes
General Medicine Unit, Department of Medicine, Massachusetts General Hospital, 50 Staniford Street, Boston, MA 02114, USA
BMJ 338:b2159. 2009..To evaluate the effect of a video decision support tool on the preferences for future medical care in older people if they develop advanced dementia, and the stability of those preferences after six weeks...
A randomized controlled trial of a goals-of-care video for elderly patients admitted to skilled nursing facilitiesAngelo E Volandes
Harvard Medical School, Boston, MA 02114, USA
J Palliat Med 15:805-11. 2012..Options included: life-prolonging (i.e., cardiopulmonary resuscitation), limited (i.e., hospitalization but no cardiopulmonary resuscitation), or comfort care (i.e., symptom relief)...
Using video images to improve the accuracy of surrogate decision-making: a randomized controlled trialAngelo E Volandes
General Medicine Unit, Department of Medicine, Massachusetts General Hospital, Boston, MA 02114, USA
J Am Med Dir Assoc 10:575-80. 2009..Unfortunately, multiple studies have shown that surrogates' knowledge of patient preferences is poor. We hypothesized that a video decision tool would improve concordance between patients and their surrogates for end-of-life preferences...
Doing the right thing: a geriatrician's perspective on medical care for the person with advanced dementiaMuriel R Gillick
Harvard Vanguard Medical Associates, Boston, Massachusetts, USA
J Law Med Ethics 40:51-6. 2012..When the goal is comfort, this is achieved by assuring dignity, minimizing suffering, and promoting caring. In general, comfort should be the default goal of care, best implemented through palliative care or hospice...
The standard of caring: why do we still use feeding tubes in patients with advanced dementia?Muriel R Gillick
Harvard Medical School, Boston, MA, USA
J Am Med Dir Assoc 9:364-7. 2008..A better approach to family members who want feeding tubes for the demented is to acknowledge the symbolic value of nutrition for them and to seek an alternative means of satisfying the need to feed...
A framework for meaningful Medicare reformMuriel R Gillick
Division on Aging, Harvard Medical School, MA, USA
J Aging Soc Policy 16:1-12. 2004
Medicare coverage for technological innovations--time for new criteria?Muriel R Gillick
Harvard Vanguard Medical Associates and the Department of Ambulatory Care and Prevention, Harvard Pilgrim Health Care and Harvard Medical School, Boston, USA
N Engl J Med 350:2199-203. 2004
Potential burdens of low-tech interventions near the end of lifeMuriel R Gillick
Department of Ambulatory Care and Prevention, Harvard Medical School Harvard Pilgrim Health Care, Boston, Massachusetts, USA
J Pain Symptom Manage 37:429-32. 2009..The case is discussed from the perspective of clinical ethics, organizational ethics, and the law...
Using video images of dementia in advance care planningAngelo E Volandes
General Medicine Unit, Massachusetts General Hospital, 50 Staniford St, Ninth Floor, Boston, MA 02114, USA
Arch Intern Med 167:828-33. 2007..Advance care planning is a process by which patients plan for future medical care under circumstances of impaired decision-making. Central to this process is the patient's understanding and ability to imagine future health states...
Advance care planningMuriel R Gillick
Harvard Vanguard Medical Associates and the Department of Ambulatory Care and Prevention, Harvard Medical School, Boston, USA
N Engl J Med 350:7-8. 2004
'In technology we trust'Muriel R Gillick
Department of Population Medicine, Harvard Pilgrim Health Care Institute, Harvard Medical School, Boston, Massachusetts, USA
Health Aff (Millwood) 29:2343-6. 2010..But for many patients, our intervention-oriented medical culture doesn't produce humane care...
The effect of underlying health status on patient or surrogate preferences for end-of-life care: a pilot studyKara Zivin Bambauer
Department of Ambulatory Care and Prevention, Harvard Medical School Harvard Pilgrim Health Care, Boston, Massachusetts 02215, USA
Am J Hosp Palliat Care 24:185-90. 2007..Further research is needed to test the sensitivity of health status, as measured by the Palliative Performance Score, in affecting patient preferences...
Ethics corner: cases from the Hebrew rehabilitation center for aged-truth or consequencesEran D Metzger
Department of Medicine, Hebrew Rehabilitation Center for Aged, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02131, USA
J Am Med Dir Assoc 4:45-7. 2003
Adapting advance medical planning for the nursing homeMuriel R Gillick
Harvard Vanguard Medical Associates and the Department of Ambulatory Care and Prevention, Harvard Medical School, Boston, MA 02215, USA
J Palliat Med 7:357-61. 2004
Artificial nutrition and hydration therapy in advanced dementiaMuriel R Gillick
Department of Medicine, Hebrew Rehabilitation Center for Aged, 1200 Centre Street, Boston, MA 02131, USA
Lancet Neurol 2:76. 2003
Nursing home characteristics associated with tube feeding in advanced cognitive impairmentSusan L Mitchell
Hebrew Rehabilitation Center for Aged Research and Training Institute, Harvard Medical School, Boston, Massachusetts 02131, USA
J Am Geriatr Soc 51:75-9. 2003..To identify nursing homes factors associated with the use of tube feeding in advanced cognitive impairment...
Do we need to create geriatric hospitals?Muriel R Gillick
Hebrew Rehabilitation Center for Aged, Department of Medicine, Boston, MA 02131, USA
J Am Geriatr Soc 50:174-7. 2002..Designing new institutions for geriatric care will require new legislation and a new set of regulations but should be considered for the oldest and frailest patients...
Terminal sedation: an acceptable exit strategy?Muriel R Gillick
Ann Intern Med 141:236-7. 2004
Ethics corner: cases from the Hebrew Rehabilitation Center for aged-friendsEran D Metzger
Department of Medicine, Hebrew Rehabilitation Center for Aged; Division of Gerontology, Beth Israel Deaconess Medical Center; and Division on Aging, Harvard Medical School. E-mail
J Am Med Dir Assoc 4:109-11. 2003
Unilateral limitation of treatment by physicians?Muriel R Gillick
J Am Geriatr Soc 52:850; author reply 850-1. 2004
Benefits and consequences for the poor and the disabledRachel A Elliott
University of Manchester, Manchester, United Kingdom
N Engl J Med 353:2739-41. 2005
