This article examines the definition of value in medical care for palliative care patients and describes an Interdisciplinary Palliative Care Services Agreement, which is a framework for valued, financially sustainable palliative care at a 500-bed academic medical center. Quality standards drive team interventions and also serve as metrics for financial support. The agreement defines staffing ratios necessary for sustainable team growth and represents a financial model that positions the field of palliative medicine competitively among other medical specialities.
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Porter-Williamson et al. (2009) studied this question.
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