Goal‐Concordant Care Among Seriously Ill Hospitalized Patients With Treatment Limitations on <scp>POLST</scp> : A Mixed‐Methods Study
This mixed-methods study of seriously ill patients with treatment limitations on POLST provides context for receipt of "POLST-discordant care" in the acute-care setting and reveals how such treatment may still represent goal-concordant care. Our findings reveal complexities when considering goal-concordant but potentially non-beneficial care among seriously ill patients, and demonstrate the impact of clinicians' mindsets and communication on delivery of high-intensity treatment. Finally, our study highlights the nuances of medical decision-making and the persistent challenge of interpreting advance-care planning documents in acute-care settings.
Authors
- William E. Rosa (ORCID: https://orcid.org/0000-0002-0680-8911)
- Christopher G. Slatore (ORCID: https://orcid.org/0000-0003-0958-8122)
- Kelly C. Vranas (ORCID: https://orcid.org/0000-0001-7450-3717)
- Amber Lin (ORCID: https://orcid.org/0000-0001-5542-1425)
- Donald Richard Sullivan (ORCID: https://orcid.org/0000-0003-3266-3389)
- Jenna L. Shenk
- Bo Ram Lee (ORCID: https://orcid.org/0000-0002-0537-6205)
- Ritika Singh (ORCID: https://orcid.org/0000-0001-5879-5772)
Institutions
- Memorial Sloan Kettering Cancer Center (US)
- University of Wisconsin–Madison (US)
- Oregon Health & Science University (US)
- Portland VA Medical Center (US)
- Sacred Heart Medical Center (US)
- Oregon Dermatology & Research Center (US)
- Oregon Health and Science University Hospital (US)
- VA Portland Health Care System (US)
- University of Portland (US)
Publication Details
- Journal
- Journal of the American Geriatrics Society
- Published
- 2025-07-14
- DOI
- https://doi.org/10.1111/jgs.70014
- Citations
- 2
- Primary Topic
- Palliative Care and End-of-Life Issues
- Type
- article
- Field-Weighted Citation Impact
- 3.76
Funders
- U.S. Department of Veterans Affairs
- American Thoracic Society
- Collins Medical Trust