TY - JOUR
T1 - A legislatively mandated council
T2 - A model for palliative care policy integration
AU - Rushton, Cynda Hylton
AU - Schwartz, Jack
PY - 2011/11/1
Y1 - 2011/11/1
N2 - Mechanisms are needed to foster discussion of policy choices about end-of-life care, identify areas of general agreement, and clarify possible areas of disagreement. The Maryland State Advisory Council on Quality Care at the End of Life (MSAC), created by legislation as a permanent part of Maryland government, is one such mechanism. We describe the rationale for creating the MSAC, its operational features, and some of its successes and challenges. Given state-to-state variation in many aspects of health care organization and financing, we do not present the MSAC as a model to be adopted in every state. The MSAC's body of work over 8 years indicates that the model can be an effective catalyst for positive change in end-of-life policy making. Reformers elsewhere should consider this model, with an eye to both the MSAC's accomplishments and areas in which a different approach might be more fruitful.
AB - Mechanisms are needed to foster discussion of policy choices about end-of-life care, identify areas of general agreement, and clarify possible areas of disagreement. The Maryland State Advisory Council on Quality Care at the End of Life (MSAC), created by legislation as a permanent part of Maryland government, is one such mechanism. We describe the rationale for creating the MSAC, its operational features, and some of its successes and challenges. Given state-to-state variation in many aspects of health care organization and financing, we do not present the MSAC as a model to be adopted in every state. The MSAC's body of work over 8 years indicates that the model can be an effective catalyst for positive change in end-of-life policy making. Reformers elsewhere should consider this model, with an eye to both the MSAC's accomplishments and areas in which a different approach might be more fruitful.
UR - http://www.scopus.com/inward/record.url?scp=80755130541&partnerID=8YFLogxK
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U2 - 10.1089/jpm.2011.0003
DO - 10.1089/jpm.2011.0003
M3 - Article
C2 - 21988487
AN - SCOPUS:80755130541
SN - 1096-6218
VL - 14
SP - 1240
EP - 1245
JO - Journal of palliative medicine
JF - Journal of palliative medicine
IS - 11
ER -