We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......

The SUPPORT Project and Improving Care for Seriously III Patients-Reply

Bernard Lo, MD
JAMA. 1996;275(16):1231. doi:10.1001/jama.1996.03530400015027.
Text Size: A A A
Published online


In Reply.  —These letters illustrate the range of responses that the SUPPORT project has evoked and suggest the tasks that lie ahead if we are to improve the care of seriously ill patients. The groups led by Dr Frank and Dr Solomon argue that interventions that affect the entire health care organization can change physician behavior and institutional culture and practices. I agree with their analysis. The challenge is to demonstrate that organizational interventions in fact improve important clinical outcomes. SUPPORT has set a new standard for evaluating interventions that are intended to improve the care of dying patients. Factors other than the institution-wide intervention may influence outcomes. For instance, hospital lengths of stay may decrease for many reasons, such as financial incentives under managed care. End points must be selected carefully. In addition to improving hospital policies, institutions need to show that their interventions improve pain control, increase discussions


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.