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Core Elements of Goals of Care Initiatives Across Eight Health Systems.

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Title: Core Elements of Goals of Care Initiatives Across Eight Health Systems.
Authors: Ma JE; Division of Geriatrics and Palliative Care (J.E.M., K.L., D.C.), Department of Medicine, Duke University School of Medicine, Durham, North Carolina, USA; Geriatrics and Extended Care (J.E.M.), Durham VA Health System, Durham, North Carolina, USA. Electronic address: Jessica.ma@duke.edu., Piscitello G; Section of Palliative Care and Medical Ethics (G.P., J.S.), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA; Palliative Research Center (PaRC) (G.P., J.S.), University of Pittsburgh, Pittsburgh, Pennsylvania, USA., Schell J; Section of Palliative Care and Medical Ethics (G.P., J.S.), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA; Palliative Research Center (PaRC) (G.P., J.S.), University of Pittsburgh, Pittsburgh, Pennsylvania, USA; Division of Renal Electrolyte (J.S.), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA., Lyons K; Division of Geriatrics and Palliative Care (J.E.M., K.L., D.C.), Department of Medicine, Duke University School of Medicine, Durham, North Carolina, USA., Arnold RM; Department of Geriatrics and Palliative Medicine (R.M.A.), School of Medicine at Mt Sinai, New York, New York, USA., Eckert E; Office of Curricular Affairs, Medical Education Administration (E.E.), Duke University School of Medicine, Durham, North Carolina, USA., Kross EK; Division of Pulmonary (E.K.K.), Critical Care and Sleep Medicine, Department of Medicine, University of Washington, Seattle, Washington, USA; Cambia Palliative Care Center of Excellence (E.K.K.), UW Medicine, Seattle, Washington, USA., Gibbs LM; University of California Irvine (L.M.G.), Irvine, California, USA., Gonzales MJ; Institute for Human Caring (M.J.G., D.U.), Providence, Renton, Washington, USA., Kantor M; Division of Palliative Medicine (M.K., S.N., M.W.R.), Department of Medicine, University of California, San Francisco, San Francisco, California, USA., Moore N; BJC HealthCare (N.M.), St. Louis, Missouri, USA., Nouri S; Division of Palliative Medicine (M.K., S.N., M.W.R.), Department of Medicine, University of California, San Francisco, San Francisco, California, USA., Rabow MW; Division of Palliative Medicine (M.K., S.N., M.W.R.), Department of Medicine, University of California, San Francisco, San Francisco, California, USA., Schenker Y; Denver Health (Y.S.), Denver, Colorado, USA., Sudore RL; San Francisco Veterans Affairs Medical Center (R.L.S.), San Francisco, California, USA; Division of Geriatrics (R.L.S.), Department of Medicine, University of California San Francisco, San Francisco, California, USA., Unger D; Institute for Human Caring (M.J.G., D.U.), Providence, Renton, Washington, USA., Walling AM; Division of General Internal Medicine and Health Services Research (A.M.W., N.W.), UCLA David Geffen School of Medicine, Los Angeles, California, USA; VA Greater Los Angeles Health System (A.M.W.), Los Angeles, California, USA., Wenger N; Division of General Internal Medicine and Health Services Research (A.M.W., N.W.), UCLA David Geffen School of Medicine, Los Angeles, California, USA., White PH; Department of Medicine (P.H.W.), Washington University School of Medicine in Saint Louis, St. Louis, Missouri, USA., Casarett D; Division of Geriatrics and Palliative Care (J.E.M., K.L., D.C.), Department of Medicine, Duke University School of Medicine, Durham, North Carolina, USA.
Source: Journal of pain and symptom management [J Pain Symptom Manage] 2026 May; Vol. 71 (5), pp. e579-e590. Date of Electronic Publication: 2026 Jan 16.
Publication Type: Journal Article
Journal Info: Publisher: Elsevier Country of Publication: United States NLM ID: 8605836 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-6513 (Electronic) Linking ISSN: 08853924 NLM ISO Abbreviation: J Pain Symptom Manage Subsets: MEDLINE
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  Data: <searchLink fieldCode="AU" term="%22Ma+JE%22">Ma JE</searchLink>; Division of Geriatrics and Palliative Care (J.E.M., K.L., D.C.), Department of Medicine, Duke University School of Medicine, Durham, North Carolina, USA; Geriatrics and Extended Care (J.E.M.), Durham VA Health System, Durham, North Carolina, USA. Electronic address: Jessica.ma@duke.edu.<br /><searchLink fieldCode="AU" term="%22Piscitello+G%22">Piscitello G</searchLink>; Section of Palliative Care and Medical Ethics (G.P., J.S.), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA; Palliative Research Center (PaRC) (G.P., J.S.), University of Pittsburgh, Pittsburgh, Pennsylvania, USA.<br /><searchLink fieldCode="AU" term="%22Schell+J%22">Schell J</searchLink>; Section of Palliative Care and Medical Ethics (G.P., J.S.), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA; Palliative Research Center (PaRC) (G.P., J.S.), University of Pittsburgh, Pittsburgh, Pennsylvania, USA; Division of Renal Electrolyte (J.S.), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.<br /><searchLink fieldCode="AU" term="%22Lyons+K%22">Lyons K</searchLink>; Division of Geriatrics and Palliative Care (J.E.M., K.L., D.C.), Department of Medicine, Duke University School of Medicine, Durham, North Carolina, USA.<br /><searchLink fieldCode="AU" term="%22Arnold+RM%22">Arnold RM</searchLink>; Department of Geriatrics and Palliative Medicine (R.M.A.), School of Medicine at Mt Sinai, New York, New York, USA.<br /><searchLink fieldCode="AU" term="%22Eckert+E%22">Eckert E</searchLink>; Office of Curricular Affairs, Medical Education Administration (E.E.), Duke University School of Medicine, Durham, North Carolina, USA.<br /><searchLink fieldCode="AU" term="%22Kross+EK%22">Kross EK</searchLink>; Division of Pulmonary (E.K.K.), Critical Care and Sleep Medicine, Department of Medicine, University of Washington, Seattle, Washington, USA; Cambia Palliative Care Center of Excellence (E.K.K.), UW Medicine, Seattle, Washington, USA.<br /><searchLink fieldCode="AU" term="%22Gibbs+LM%22">Gibbs LM</searchLink>; University of California Irvine (L.M.G.), Irvine, California, USA.<br /><searchLink fieldCode="AU" term="%22Gonzales+MJ%22">Gonzales MJ</searchLink>; Institute for Human Caring (M.J.G., D.U.), Providence, Renton, Washington, USA.<br /><searchLink fieldCode="AU" term="%22Kantor+M%22">Kantor M</searchLink>; Division of Palliative Medicine (M.K., S.N., M.W.R.), Department of Medicine, University of California, San Francisco, San Francisco, California, USA.<br /><searchLink fieldCode="AU" term="%22Moore+N%22">Moore N</searchLink>; BJC HealthCare (N.M.), St. Louis, Missouri, USA.<br /><searchLink fieldCode="AU" term="%22Nouri+S%22">Nouri S</searchLink>; Division of Palliative Medicine (M.K., S.N., M.W.R.), Department of Medicine, University of California, San Francisco, San Francisco, California, USA.<br /><searchLink fieldCode="AU" term="%22Rabow+MW%22">Rabow MW</searchLink>; Division of Palliative Medicine (M.K., S.N., M.W.R.), Department of Medicine, University of California, San Francisco, San Francisco, California, USA.<br /><searchLink fieldCode="AU" term="%22Schenker+Y%22">Schenker Y</searchLink>; Denver Health (Y.S.), Denver, Colorado, USA.<br /><searchLink fieldCode="AU" term="%22Sudore+RL%22">Sudore RL</searchLink>; San Francisco Veterans Affairs Medical Center (R.L.S.), San Francisco, California, USA; Division of Geriatrics (R.L.S.), Department of Medicine, University of California San Francisco, San Francisco, California, USA.<br /><searchLink fieldCode="AU" term="%22Unger+D%22">Unger D</searchLink>; Institute for Human Caring (M.J.G., D.U.), Providence, Renton, Washington, USA.<br /><searchLink fieldCode="AU" term="%22Walling+AM%22">Walling AM</searchLink>; Division of General Internal Medicine and Health Services Research (A.M.W., N.W.), UCLA David Geffen School of Medicine, Los Angeles, California, USA; VA Greater Los Angeles Health System (A.M.W.), Los Angeles, California, USA.<br /><searchLink fieldCode="AU" term="%22Wenger+N%22">Wenger N</searchLink>; Division of General Internal Medicine and Health Services Research (A.M.W., N.W.), UCLA David Geffen School of Medicine, Los Angeles, California, USA.<br /><searchLink fieldCode="AU" term="%22White+PH%22">White PH</searchLink>; Department of Medicine (P.H.W.), Washington University School of Medicine in Saint Louis, St. Louis, Missouri, USA.<br /><searchLink fieldCode="AU" term="%22Casarett+D%22">Casarett D</searchLink>; Division of Geriatrics and Palliative Care (J.E.M., K.L., D.C.), Department of Medicine, Duke University School of Medicine, Durham, North Carolina, USA.
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