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Invited Commentary
August 2015

Advance Directives: Sometimes Necessary But Rarely Sufficient

Author Affiliations
  • 1AIM Specialty Health, Chicago, Illinois

Copyright 2015 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA Oncol. 2015;1(5):609-610. doi:10.1001/jamaoncol.2015.2074

Confronted with serious illness, patients seek the best care tailored to their needs. Some will seek care that is considered “the best,” while others may prioritize a care center that is nearby or within an affordable insurance network. Optimal cancer care involves delivery of patient- and family-centered care with values and preferences understood by the clinicians and implemented throughout the course of care. Implementing this model of care presents a challenge, requiring a flexible approach grounded in practical reality and focused on the negotiated goals.