PubMed · 6560038
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K Okada. 1984. [Multiple organ failure].. https://pubmed.ncbi.nlm.nih.gov/6560038/
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Breaking bad news is one of the most important and most difficult tasks of a physician. The training for this dialogue should be intensified during the medical curriculum. Physicians of the town of Zurich in general inform their patients truthfully about the seriousnessy of their illness. The prognosis of a patient is revealed in a careful way with a wide range of options. In the northern countries of Europe the truth in medical diagnosis and prognosis is revealed in a straight way, whereas in the south and the southeast the truth is generally hidden from the patient. A few simple rules are given for the initial and the subsequent dialogues between the physician and a patient with an incurable disease.
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The promulgation of new coverage guidelines and provisions of the 1988 Medicare Catastrophic Coverage Act indicated that Medicare's role in financing nursing home care could expand greatly. This paper presents a facility-level analysis addressing how the policy changes affected the payer mix of subgroups of Medicare-certified skilled nursing facilities (SNFs). Our analysis found that the new policies increased participation of nursing homes in the Medicare SNF program and suggested that the policies expanded both access to the Medicare SNF benefit and the role of public financing for nursing home care. Greater responsiveness to the policies was observed among proprietary SNFs and among those with more beds.