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Community health centers face many challenges to providing patients with optimal end- of-life care. Primary care is typically fragmented from specialty, palliative and hospice care. This break in the continuity of care as patients approach death can be alienating, stressful and painful for patients, family members, caregivers and providers. Patients often have difficulty getting their own wishes met as they get swept up in high tech acute care medicine. Given the inevitability of death, and the fact that most people die after the age of 65, End of Life Decisions: Given the unique needs and choices of individual patients, it is important. | DELSA HEA WD HWP 2007 2 OECD OCDE Trends in Severe Disability Among Elderly People Assessing the Evidence in 12 OECD Countries and the Future Implications Gaétan Lafortune Gaelle Balestat and the Disability Study Expert Group Members 26 OECD HEALTH WORKING PAPERS Unclassified DELSA HEA WD HWP 2007 2 Organisation de Cooperation et de Développement Economiques Organisation for Economic Co-operation and Development DIRECTORATE FOR EMPLOYMENT LABOUR AND SOCIAL AFFAIRS HEALTH COMMITTEE 30-Mar-2007 English - Or. English Unclassified Health Working Papers OECD HEALTH WORKING PAPERS NO. 26 TRENDS IN SEVERE DISABILITY AMONG ELDERLY PEOPLE ASSESSING THE EVIDENCE IN 12 OECD COUNTRIES AND THE FUTURE IMPLICATIONS Gaétan Lafortune Gaelle Balestat and the Disability Study Expert Group Members s QỈ2- QỈ2- JT03224784 Document complet disponible sur OLIS dans son format d origine Complete document available on OLIS in its original format DELSA HEA WD HWP 2007 2 DIRECTORATE FOR EMPLOYMENT LABOUR AND SOCIAL AFFAIRS OECD HEALTH WORKING PAPERS This series is designed to make available to a wider readership health studies prepared for use within the OECD. Authorship is usually collective but principal writers are named. The papers are generally available only in their original language - English or French - with a summary in the other. Comment on the series is welcome and should be sent to the Directorate for Employment Labour and Social Affairs 2 rue André-Pascal 75775 PARIS CEDEX 16 France. The opinions expressed and arguments employed here are the responsibility of the author s and do not necessarily reflect those of the OECD Applications for permission to reproduce or translate all or part of this material should be made to Head of Publications Service OECD 2 rue André-Pascal 75775 Paris CEDEX 16 France Copyright OECD 2007