{"id":"https://openalex.org/W2154804116","doi":"https://doi.org/10.1001/archinte.159.10.1133","title":"Community Physicians Who Provide Terminal Care","display_name":"Community Physicians Who Provide Terminal Care","publication_year":1999,"publication_date":"1999-05-24","ids":{"openalex":"https://openalex.org/W2154804116","doi":"https://doi.org/10.1001/archinte.159.10.1133","mag":"2154804116","pmid":"https://pubmed.ncbi.nlm.nih.gov/10335692"},"language":"en","primary_location":{"id":"doi:10.1001/archinte.159.10.1133","doi":"https://doi.org/10.1001/archinte.159.10.1133","is_oa":false,"landing_page_url":"https://doi.org/10.1001/archinte.159.10.1133","pdf_url":null,"source":{"id":"https://openalex.org/S4210206803","display_name":"Archives of Internal Medicine","issn_l":"0003-9926","issn":["0003-9926","0730-188X","1538-3679"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of Internal Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5090298551","display_name":"Laura C. Hanson","orcid":"https://orcid.org/0000-0001-5120-6058","observed_orcids":["https://orcid.org/0000-0001-5120-6058"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Laura C. Hanson","raw_affiliation_strings":["Division of General Internal Medicine, University of North Carolina at Chapel Hill, 27599-7110, USA. lhanson@med.unc.educ","Division of General Internal Medicine, University of North Carolina at Chapel Hill, 27599-7110, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of General Internal Medicine, University of North Carolina at Chapel Hill, 27599-7110, USA. lhanson@med.unc.educ","institution_ids":["https://openalex.org/I114027177"]},{"raw_affiliation_string":"Division of General Internal Medicine, University of North Carolina at Chapel Hill, 27599-7110, USA","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113955563","display_name":"Jo Anne Earp","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jo Anne Earp","raw_affiliation_strings":["Health Behavior"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Health Behavior","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108508370","display_name":"Joanne Mills Garrett","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Joanne Garrett","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101526053","display_name":"Manoj P. Menon","orcid":"https://orcid.org/0000-0002-4981-0376","observed_orcids":["https://orcid.org/0000-0002-4981-0376"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Manoj Menon","raw_affiliation_strings":["University of North Carolina"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of North Carolina","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5008883559","display_name":"Marion Danis","orcid":"https://orcid.org/0000-0002-4749-4568","observed_orcids":["https://orcid.org/0000-0002-4749-4568"]},"institutions":[{"id":"https://openalex.org/I1299303238","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I1299303238"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Marion Danis","raw_affiliation_strings":["[NIH]"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"[NIH]","institution_ids":["https://openalex.org/I1299303238"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":2.7688,"has_fulltext":false,"cited_by_count":32,"citation_normalized_percentile":{"value":0.90447357,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":96},"biblio":{"volume":"159","issue":"10","first_page":"1133","last_page":"1133"},"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":1.0,"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":1.0,"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/T13340","display_name":"Palliative and Oncologic Care","score":0.0,"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/T13147","display_name":"Ethics and bioethics in healthcare","score":0.0,"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/end-of-life-care","display_name":"end-of-life care","score":0.9340000152587891},{"id":"https://openalex.org/keywords/community-physicians","display_name":"community physicians","score":0.7910000085830688},{"id":"https://openalex.org/keywords/primary-care-physicians","display_name":"primary care physicians","score":0.8130000233650208},{"id":"https://openalex.org/keywords/life-sustaining-treatment","display_name":"life-sustaining treatment","score":0.9919999837875366},{"id":"https://openalex.org/keywords/cardiopulmonary-resuscitation","display_name":"cardiopulmonary resuscitation","score":0.9319999814033508},{"id":"https://openalex.org/keywords/ventilatory-support","display_name":"ventilatory support","score":0.843999981880188},{"id":"https://openalex.org/keywords/hospice-care","display_name":"hospice care","score":0.996999979019165},{"id":"https://openalex.org/keywords/living-wills","display_name":"living wills","score":0.8619999885559082},{"id":"https://openalex.org/keywords/advance-care-planning","display_name":"advance care planning","score":0.8679999709129333},{"id":"https://openalex.org/keywords/physician-patient-relationship","display_name":"physician-patient relationship","score":0.7210000157356262},{"id":"https://openalex.org/keywords/place-of-death","display_name":"place of death","score":0.7710000276565552},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.5680000185966492},{"id":"https://openalex.org/keywords/cancer","display_name":"cancer","score":0.5849999785423279},{"id":"https://openalex.org/keywords/congestive-heart-failure","display_name":"congestive heart failure","score":0.9440000057220459},{"id":"https://openalex.org/keywords/chronic-lung-disease","display_name":"chronic lung disease","score":0.8949999809265137},{"id":"https://openalex.org/keywords/liver-cirrhosis","display_name":"liver cirrhosis","score":0.9520000219345093},{"id":"https://openalex.org/keywords/stroke","display_name":"stroke","score":0.9990000128746033}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8552654385566711},{"id":"https://openalex.org/C2777995714","wikidata":"https://www.wikidata.org/wiki/Q18209059","display_name":"Advance care planning","level":3,"score":0.6462031602859497},{"id":"https://openalex.org/C2994186709","wikidata":"https://www.wikidata.org/wiki/Q29483","display_name":"Palliative care","level":2,"score":0.6217936873435974},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.5799980163574219},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.5735799670219421},{"id":"https://openalex.org/C2780879335","wikidata":"https://www.wikidata.org/wiki/Q2045105","display_name":"End-of-life care","level":3,"score":0.5671866536140442},{"id":"https://openalex.org/C2777055891","wikidata":"https://www.wikidata.org/wiki/Q185325","display_name":"Cardiopulmonary resuscitation","level":3,"score":0.541610598564148},{"id":"https://openalex.org/C2908857224","wikidata":"https://www.wikidata.org/wiki/Q555118","display_name":"Living Wills","level":3,"score":0.5093430280685425},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.4424355924129486},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.30627673864364624},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.2879488468170166},{"id":"https://openalex.org/C2778165595","wikidata":"https://www.wikidata.org/wiki/Q5491454","display_name":"Resuscitation","level":2,"score":0.2830435037612915},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.22263196110725403},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.13825783133506775},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003153","descriptor_name":"Community Health Services","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D003644","descriptor_name":"Death Certificates","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006302","descriptor_name":"Health Services Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006699","descriptor_name":"Home Care Services","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009657","descriptor_name":"North Carolina","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010818","descriptor_name":"Practice Patterns, Physicians'","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D013727","descriptor_name":"Terminal Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D016224","descriptor_name":"Living Wills","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016743","descriptor_name":"Mental Competency","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018579","descriptor_name":"Patient Selection","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":"D032722","descriptor_name":"Advance Care Planning","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1001/archinte.159.10.1133","doi":"https://doi.org/10.1001/archinte.159.10.1133","is_oa":false,"landing_page_url":"https://doi.org/10.1001/archinte.159.10.1133","pdf_url":null,"source":{"id":"https://openalex.org/S4210206803","display_name":"Archives of Internal Medicine","issn_l":"0003-9926","issn":["0003-9926","0730-188X","1538-3679"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of Internal Medicine","raw_type":"journal-article"},{"id":"pmid:10335692","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10335692","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":"Archives of internal medicine","raw_type":"Journal Article"},{"id":"pmh:oai:repository.library.georgetown.edu:10822/755434","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=Community+Physicians+Who+Provide+Terminal+Care&title=Archives+of+Internal+Medicine.++&volume=159&issue=10&pages=1133-1138&date=1999&au=Hanson,+Laura+C.","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/99266723","raw_type":null},{"id":"pmh:oai:repository.library.georgetown.edu:10822/924361","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=Community+Physicians+Who+Provide+Terminal+Care&title=Archives+of+Internal+Medicine+&volume=159&issue=10&spage=1133-1138&date=1999-05&au=Hanson,+Laura+C.;+Earp,+Jo+Anne;+Garrett,+Joanne;+Menon,+Manoj;+Danis,+Marion","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:203642","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9537000060081482}],"sustainable_development_goals_aurora":[{"display_name":"Peace, justice, and strong institutions","id":"https://metadata.un.org/sdg/16","score":0.4300000071525574}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":27,"referenced_works":["https://openalex.org/W1964204206","https://openalex.org/W1975701886","https://openalex.org/W1981832022","https://openalex.org/W2002061757","https://openalex.org/W2016498505","https://openalex.org/W2016677237","https://openalex.org/W2019693037","https://openalex.org/W2030991164","https://openalex.org/W2031508611","https://openalex.org/W2039321214","https://openalex.org/W2047118955","https://openalex.org/W2057616271","https://openalex.org/W2067517055","https://openalex.org/W2080966685","https://openalex.org/W2093875715","https://openalex.org/W2097818780","https://openalex.org/W2101223703","https://openalex.org/W2137325786","https://openalex.org/W2152967756","https://openalex.org/W2289487305","https://openalex.org/W2337048718","https://openalex.org/W3123337871","https://openalex.org/W4234194670","https://openalex.org/W4234774568","https://openalex.org/W4239361856","https://openalex.org/W4239828340","https://openalex.org/W4242002782"],"related_works":["https://openalex.org/W2099933937","https://openalex.org/W2105195965","https://openalex.org/W2097257799","https://openalex.org/W4234807409","https://openalex.org/W2074637824","https://openalex.org/W2028752372","https://openalex.org/W2139487464","https://openalex.org/W2903711311","https://openalex.org/W2169040579","https://openalex.org/W2086413281"],"abstract_inverted_index":{"BACKGROUND:":[0],"Most":[1,88,157],"dying":[2,210,244],"patients":[3],"are":[4,214],"treated":[5,116],"by":[6],"physicians":[7,45,83,89,100,204],"in":[8,37,70,92,153,216,234],"community":[9,71,235],"practice,":[10],"yet":[11],"studies":[12],"of":[13,25,54,76,81,129,132,150,155,169,180,198,219],"terminal":[14],"care":[15,69,94,99,222],"rarely":[16],"include":[17],"these":[18],"physicians.":[19],"OBJECTIVE:":[20],"To":[21],"examine":[22],"the":[23,102,107,195,217,243],"frequency":[24],"life-sustaining":[26,207],"treatment":[27,35,151,183,228],"use":[28,205],"and":[29,43,50,79,95,114,141,172,191,224],"describe":[30],"what":[31],"factors":[32],"influence":[33,227,242],"physicians'":[34],"decisions":[36,213],"community-based":[38],"practices.":[39],"METHODS:":[40],"Family":[41,146],"members":[42],"treating":[44],"for":[46,101,118,209],"decedents":[47,133],"65":[48],"years":[49],"older":[51],"who":[52],"died":[53],"cancer,":[55,171],"congestive":[56],"heart":[57],"failure,":[58],"chronic":[59],"lung":[60],"disease,":[61],"cirrhosis,":[62],"or":[63,111,164],"stroke":[64],"completed":[65],"interviews":[66],"about":[67],"end-of-life":[68],"settings.":[72],"RESULTS:":[73],"Eighty":[74],"percent":[75],"eligible":[77,82],"family":[78],"68.8%":[80],"participated":[84],"(N":[85],"=":[86],"165).":[87],"were":[90,97,177,194],"trained":[91],"primary":[93,98,221],"85.4%":[96],"decedents.":[103],"Physicians":[104,186],"typically":[105],"knew":[106],"decedent":[108],"a":[109,148,162,174,238],"year":[110],"more":[112,165],"(68.9%),":[113],"93.3%":[115],"them":[117],"at":[119],"least":[120],"1":[121],"month":[122,128,163],"before":[123,166,184],"death.":[124,167,185],"In":[125],"their":[126],"last":[127],"life,":[130],"2.4%":[131],"received":[134,138,143],"cardiopulmonary":[135],"resuscitation,":[136],"5.5%":[137],"ventilatory":[139],"support,":[140],"34.1%":[142],"hospice":[144],"care.":[145],"recalled":[147],"discussion":[149],"options":[152],"78.2%":[154],"deaths.":[156],"discussions":[158],"(72.1%)":[159],"took":[160],"place":[161],"Place":[168],"death,":[170],"having":[173],"living":[175,225],"will":[176],"independent":[178],"predictors":[179],"less":[181],"aggressive":[182],"believed":[187],"that":[188],"advanced":[189],"planning":[190],"good":[192,199],"relationships":[193],"major":[196],"determinants":[197],"decision":[200],"making.":[201],"CONCLUSIONS:":[202],"Community":[203],"few":[206],"treatments":[208],"patients.":[211],"Treatment":[212],"made":[215],"context":[218],"long-term":[220],"relationships,":[223],"wills":[226],"decisions.":[229],"The":[230],"choice":[231],"to":[232],"remain":[233],"settings":[236],"with":[237],"familiar":[239],"physician":[240],"may":[241],"experience.":[245]},"counts_by_year":[{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":2},{"year":2016,"cited_by_count":1},{"year":2013,"cited_by_count":1},{"year":2012,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}