[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Invited Commentary
July 2018

Precision Communication—A Path Forward to Improve Goals-of-Care Communication

Author Affiliations
  • 1Ariadne Labs, Brigham and Women’s Hospital, Harvard T. H. Chan School of Public Health, Boston, Massachusetts
  • 2Psychosocial Oncology and Palliative Care, Dana Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts
JAMA Intern Med. 2018;178(7):940-942. doi:10.1001/jamainternmed.2018.2307

There are only two sorts of doctors; those who practice with their brains, and those who practice with their tongues.

Sir William Osler

Clinicians know that they should discuss goals of care with their seriously ill patients, but questions arise about the right time to start the discussion and the right words to use. Yet patients with serious illness often receive care that does not match their goals, and evidence demonstrates that patients who have these conversations are more likely to receive the care that they want and experience improved quality of life.1 In the current issue of JAMA Internal Medicine, Curtis et al2 report results that may very well provide a scalable path forward to increase access to these critical conversations.

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words