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Improving advanced illness care: the evolution of state POLST programs
Improving advanced illness care: the evolution of state POLST programs
Physician Orders for Life-Sustaining Treatment (POLST) is a promising program to elicit and honor the treatment goals of people with advanced progressive illness or frailty. POLST began in Oregon in the early 1990s. By the beginning of 2010, at least 12 states had adopted the POLST paradigm, and proponents in most other states were developing programs. The current study explores the experience of 12 states with POLST programs to identify factors that helped or hindered adoption and meaningful implementation of the protocol.
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