Research Topics
| Alexander K SmithSummaryAffiliation: University of California Country: USA Publications
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Detail Information
Publications
Half of older Americans seen in emergency department in last month of life; most admitted to hospital, and many die thereAlexander K Smith
Division of Geriatrics, University of California, San Francisco UCSF, CA, USA
Health Aff (Millwood) 31:1277-85. 2012..Policies that encourage the preparation of patients and families for death and early enrollment in hospice may prevent emergency department visits at the end of life...
The epidemiology of pain during the last 2 years of lifeAlexander K Smith
University of California, San Francisco, Veterans Affairs Medical Center, 94121, USA
Ann Intern Med 153:563-9. 2010..The epidemiology of pain during the last years of life has not been well described...- Conducting high-value secondary dataset analysis: an introductory guide and resourcesAlexander K Smith
Department of Medicine, University of California, San Francisco, CA, USA
J Gen Intern Med 26:920-9. 2011..Secondary dataset analysis is a well-established methodology. Secondary analysis is particularly valuable for junior investigators, who have limited time and resources to demonstrate expertise and productivity... - Emergency department experiences of acutely symptomatic patients with terminal illness and their family caregiversAlexander K Smith
Division of Geriatrics, Department of Medicine, University of California, San Francisco, CA 94121, USA
J Pain Symptom Manage 39:972-81. 2010..Despite increased focus on improving palliative care in the emergency department (ED), there is little research on how to best address the specific needs of this patient population... - Palliative care for Latino patients and their families: whenever we prayed, she weptAlexander K Smith
Division of Geriatrics, Department of Medicine, University of California, San Francisco, USA
JAMA 301:1047-57, E1. 2009..Concrete suggestions are provided for clinicians in working with interpreters, eliciting culturally based attitudes and beliefs, and implementing universal strategies for clear health communication... - Racial and ethnic differences in end-of-life care in fee-for-service Medicare beneficiaries with advanced cancerAlexander K Smith
Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
J Am Geriatr Soc 57:153-8. 2009..To examine racial and ethnic variation in use of hospice and high-intensity care in patients with terminal illness... - Am I doing the right thing? Provider perspectives on improving palliative care in the emergency departmentAlexander K Smith
Department of Medicine, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, MA, USA
Ann Emerg Med 54:86-93, 93.e1. 2009..Little is known about delivering palliative care in the emergency department (ED). We explore the attitudes, experiences, and beliefs of emergency providers about palliative care in the ED, using structured qualitative methods... - Racial and ethnic differences in advance care planning among patients with cancer: impact of terminal illness acknowledgment, religiousness, and treatment preferencesAlexander K Smith
Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 1309 Beacon St, Brookline, MA 02446, USA
J Clin Oncol 26:4131-7. 2008..Despite well-documented racial and ethnic differences in advance care planning (ACP), we know little about why these differences exist. This study tested proposed mediators of racial/ethnic differences in ACP... - Every patient is an individual: clinicians balance individual factors when discussing prognosis with diverse frail elderly adultsJulie N Thai
Division of Geriatrics, Department of Medicine, University of California at San Francisco, San Francisco, California 94121, USA
J Am Geriatr Soc 61:264-9. 2013..To explore clinician choice of whether to discuss prognosis with their frail older patients... - "Knowing is better": preferences of diverse older adults for discussing prognosisCyrus Ahalt
Division of Geriatrics, Department of Medicine, University of California, San Francisco, CA, USA
J Gen Intern Med 27:568-75. 2012..Evidence suggests that preferences for prognostic information may be culturally determined. Yet little is known about the preferences of diverse elders for discussing prognosis... - Use of the Medicare posthospitalization skilled nursing benefit in the last 6 months of lifeKatherine Aragon
Division of Palliative Care, Department of Medicine, University of California, San Francisco, CA 94121, USA
Arch Intern Med 172:1573-9. 2012..We sought to examine patterns of Medicare posthospitalization SNF use in the last 6 months of life... - Length of stay for older adults residing in nursing homes at the end of lifeAnne Kelly
Veterans Affairs Medical Center, San Francisco, California, USA
J Am Geriatr Soc 58:1701-6. 2010..To describe lengths of stay of nursing home decedents... - Advance care planning and the quality of end-of-life care in older adultsKara E Bischoff
Department of Medicine, University of California at San Francisco, San Francisco, California 94143, USA
J Am Geriatr Soc 61:209-14. 2013..To determine whether advance care planning influences quality of end-of-life care... - Crying: experiences and attitudes of third-year medical students and internsAnthony D Sung
Harvard Medical School, Boston, Massachusetts, USA
Teach Learn Med 21:180-7. 2009..The medical socialization process is emotionally stressful for trainees; anecdotally, crying is a frequent response. Purposes: To understand the experiences and attitudes related to crying among 3rd-year medical students and interns... - Differences in the quality of the patient-physician relationship among terminally ill African-American and white patients: impact on advance care planning and treatment preferencesAlexander K Smith
Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Brookline, MA, USA
J Gen Intern Med 22:1579-82. 2007..Little is known about the quality of the patient-physician relationship for terminally ill African Americans... 
On being fired: experiences of patient-initiated termination of the patient-physician relationship in palliative medicineAlexander K Smith
Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, Massachusetts 02446, USA
J Palliat Med 10:938-47. 2007..Little has been written about the experience of patient-initiated termination of the patient-physician relationship, and to our knowledge, nothing has been written that is specific to palliative care...- Quality of life in late-life disability: "I don't feel bitter because I am in a wheelchair"Jennifer King
School of Medicine, University of California at San Francisco, San Francisco, California 94121, USA
J Am Geriatr Soc 60:569-76. 2012..To determine perceived quality of life in a diverse population of elderly adults with late-life disability... - Resident approaches to advance care planning on the day of hospital admissionAlexander K Smith
Division of Psychosocial Oncology and Palliative Care, Dana Farber Cancer Institute, 44 Binney Street, Boston, MA 02115, USA
Arch Intern Med 166:1597-602. 2006..Previous research has demonstrated a need to improve patient-physician communication around advance care planning. A critical time for advance care planning conversations is the day of admission to the hospital... - Racial/ethnic disparities in liver transplant surgery and hospice use: parallels, differences, and unanswered questionsAlexander K Smith
Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Brookline, MA 02446, USA
Am J Hosp Palliat Care 25:285-91. 2008..Although the goals of care are different, by examining hospice and transplant surgery side by side in the larger context of health disparities, a number of potentially promising avenues for future research have been uncovered... - Prognostic indices for older adults: a systematic reviewLindsey C Yourman
Division of Geriatrics, Department of Medicine, University of California, San Francisco, San Francisco, CA 94121, USA
JAMA 307:182-92. 2012..To better target services to those who may benefit, many guidelines recommend incorporating life expectancy into clinical decisions...