Those receiving palliative care had hospital bills that were more than $ 3,200 lower than those receiving palliative care, the study found. Cancer patients spent more than $ 4,200 less when they received palliative care.
"This study proves that better care can go hand in hand with a better end result," said Morrison.
"It's a by-product of"
Morrison heads the Department of Geriatrics and Palliative Medicine at Mount Sinai and helped direct the team that took care of Siderow's mother-in-law and his father-in-law.  Siderov said the approach helped chose the best treatment method, while ensuring that her mother-in-law stayed clear and could decide what she wanted to do.
"My mother-in-law said it was transformative for her," Siderov said. "They gave her the assurance that she was sitting in the driver's seat and that there would not be this crazy circus of tests and treatments she did not understand."
At first, Siderow's mother-in-law wanted every treatment p. She could spread to her stage 4 stage of colon cancer, which had spread to her brain at the time of diagnosis.
"She wanted to fight," she said.
"But she was very ill, she needed surgery," she added. "Then she had to become good enough to do the chemo postoperatively, which took some time, and when she was done, the cancer had developed further."
Siderov said that the palliative care team went through the process helped and made sure that her mother-in-law did not receive unnecessary tests and was in the middle of the clinic. Night Awake calls for non-urgent care.
Her father-in-law died of complications from his stroke four years later.
"He was able to live at home, and had round-the-clock care from the family and doctor visits that are part of the Mt. Sinai program," Siderov said. "It kept him out of the emergency room, it kept him out of the hospital, would his care have cost more if we had followed a different philosophy? Absolutely," she said.
What Morrison believes works is the combination of strong health care, communication and choice.
U.S. For example, for one of my patients it can be extremely important to live as long as possible or to make a bigger family event, and they are ready to try a treatment that is very high can, very stressful, "said Morrison.
"For others, a five percent chance of a treatment that meets their goals, plus annoying side effects and even side effects that can speed death, are unattractive and you could say," I'd rather spend my time with it
"Each of these decisions is right for this individual patient."
A second study shows (19659002) Dr Melissa Wachterman of Veterans Affairs Boston Healthcare System and colleagues reviewed records of more than 770,000 Medicare patients receiving dialysis as part of their treatment
About 20 percent of them took up hospice, but more than 40 percent of these patients received hospice care for three days or less, found the team.
Nursing home helps keep patients out of intense care the team recorded, and less that Pa
"Those who enrolled in the hospice within three days of death had similar costs and more intensive forms of health care than those unrelated to the hospice," they wrote in their own JAMA Internal Medicine published report.