Goals of care discussions are important for high-quality palliative care, yet are often lacking for hospitalized older patients with serious illness.

In a randomized clinical trial in JAMA, physicians and advance practice clinicians used a 'jumpstart guide' to prompt and guide goals-of-care discussions. The study found that among these patients, a pragmatic clinician-facing communication-priming intervention significantly improved documentation of goals-of-care discussions in the electronic health record, with a greater effect size in racially or ethnically minoritized patients.

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