{"id":"https://openalex.org/W188777816","doi":null,"title":"Futile care policy. Lessons learned from three years' experience in a community hospital.","display_name":"Futile care policy. Lessons learned from three years' experience in a community hospital.","publication_year":1997,"publication_date":"1997-06-01","ids":{"openalex":"https://openalex.org/W188777816","mag":"188777816","pmid":"https://pubmed.ncbi.nlm.nih.gov/9217450","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/1304314"},"language":"en","primary_location":{"id":"pmh:oai:europepmc.org:248410","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC1304314","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"http://europepmc.org/pmc/articles/PMC1304314","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5052301366","display_name":"Arthur U. Rivin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801403999","display_name":"UCLA Medical Center","ror":"https://ror.org/04vq5kb54","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799798094","https://openalex.org/I2801403999"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"A U Rivin","raw_affiliation_strings":["Office of Medical Education, Santa Monica UCLA Medical Center 90404, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Office of Medical Education, Santa Monica UCLA Medical Center 90404, USA","institution_ids":["https://openalex.org/I2801403999"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5052301366"],"corresponding_institution_ids":["https://openalex.org/I2801403999"],"apc_list":null,"apc_paid":null,"fwci":1.1312,"has_fulltext":false,"cited_by_count":9,"citation_normalized_percentile":{"value":0.78515613,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":87,"max":93},"biblio":{"volume":"166","issue":"6","first_page":"389","last_page":"93"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.9429000020027161,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.9429000020027161,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11537","display_name":"Ethics in medical practice","score":0.025699999183416367,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13147","display_name":"Ethics and bioethics in healthcare","score":0.015799999237060547,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/futile-care","display_name":"futile care","score":0.6769999861717224},{"id":"https://openalex.org/keywords/end-of-life-care","display_name":"end-of-life care","score":0.7160000205039978},{"id":"https://openalex.org/keywords/critical-care","display_name":"intensive care","score":0.6399999856948853},{"id":"https://openalex.org/keywords/life-support","display_name":"life support","score":0.6930000185966492},{"id":"https://openalex.org/keywords/community-hospitals","display_name":"community hospitals","score":0.5770000219345093},{"id":"https://openalex.org/keywords/physician-family-communication","display_name":"physician-family communication","score":0.6190000176429749},{"id":"https://openalex.org/keywords/policy-implementation","display_name":"policy implementation","score":0.3659999966621399}],"concepts":[{"id":"https://openalex.org/C188084074","wikidata":"https://www.wikidata.org/wiki/Q194294","display_name":"Bioethics","level":2,"score":0.7243859767913818},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.4951581060886383},{"id":"https://openalex.org/C2987404301","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care","level":2,"score":0.48967960476875305},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4269675612449646},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.2853126525878906},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.10802897810935974},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.08728301525115967}],"mesh":[{"descriptor_ui":"D001675","descriptor_name":"Bioethics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002140","descriptor_name":"California","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006126","descriptor_name":"Group Processes","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006764","descriptor_name":"Hospitals, Community","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D012945","descriptor_name":"Social Values","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018447","descriptor_name":"Medical Futility","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D028741","descriptor_name":"Ethics Committees, Clinical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D028761","descriptor_name":"Withholding Treatment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D033061","descriptor_name":"Ethics Consultation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D034462","descriptor_name":"Dissent and Disputes","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D040841","descriptor_name":"Resource Allocation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":6,"locations":[{"id":"pmh:oai:europepmc.org:248410","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC1304314","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},{"id":"pmid:9217450","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/9217450","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Western journal of medicine","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:1304314","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC1304314/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"West J Med","raw_type":"Text"},{"id":"pmh:oai:repository.library.georgetown.edu:10822/1037939","doi":null,"is_oa":false,"landing_page_url":"http://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Futile+Care+Policy:+Lessons+Learned+from+Three+Years'+Experience+in+a+Community+Hospital&title=Western+Journal+of+Medicine+&volume=166&issue=6&spage=389-393&date=1997-06&au=Rivin,+Arthur+U.","pdf_url":null,"source":{"id":"https://openalex.org/S4306402467","display_name":"DigitalGeorgetown (Georgetown University Library)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210145449","host_organization_name":"Center for Security and Emerging Technology","host_organization_lineage":["https://openalex.org/I4210145449"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"eweb:177786","raw_type":null},{"id":"pmh:oai:repository.library.georgetown.edu:10822/759433","doi":null,"is_oa":false,"landing_page_url":"http://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Futile+Care+Policy:+Lessons+Learned+from+Three+Years'+Experience+in+A+community+Hospital&title=Western+Journal+of+Medicine.++&volume=166&issue=6&pages=389-393&date=1997&au=Rivin,+Arthur+U.","pdf_url":null,"source":{"id":"https://openalex.org/S4306402467","display_name":"DigitalGeorgetown (Georgetown University Library)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210145449","host_organization_name":"Center for Security and Emerging Technology","host_organization_lineage":["https://openalex.org/I4210145449"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BRL:MEDKIE/97360441","raw_type":null},{"id":"mag:188777816","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/9217450","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":{"id":"pmh:oai:europepmc.org:248410","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC1304314","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9391000270843506}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":9,"referenced_works":["https://openalex.org/W1965202074","https://openalex.org/W1970123551","https://openalex.org/W2059513968","https://openalex.org/W2067149985","https://openalex.org/W2085115951","https://openalex.org/W2096798925","https://openalex.org/W2941488856","https://openalex.org/W4236861358","https://openalex.org/W4250236847"],"related_works":["https://openalex.org/W2470156024","https://openalex.org/W3132211113","https://openalex.org/W3134481742","https://openalex.org/W4234478408","https://openalex.org/W2417359566","https://openalex.org/W77550943","https://openalex.org/W2885904490","https://openalex.org/W2128234613","https://openalex.org/W2146585136","https://openalex.org/W4253531547"],"abstract_inverted_index":{"After":[0],"reviewing":[1],"intensive":[2],"and":[3,45],"life":[4],"supportive":[5],"care":[6,22],"for":[7,41],"patients":[8],"in":[9,28],"whom":[10],"it":[11],"was":[12],"probably":[13],"inappropriate,":[14],"the":[15,29,34],"hospital":[16],"bioethics":[17],"committee":[18],"established":[19],"a":[20],"futile":[21],"policy.":[23],"The":[24],"issues":[25],"we":[26],"encountered":[27],"first":[30],"3":[31],"years":[32],"since":[33],"policy":[35],"became":[36],"effective":[37],"should":[38],"be":[39],"instructive":[40],"other":[42],"hospitals,":[43],"physicians,":[44],"families.":[46]},"counts_by_year":[{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":1},{"year":2014,"cited_by_count":1},{"year":2013,"cited_by_count":1}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2016-06-24T00:00:00"}
