(1) the responsiveness of healthcare to the multiple and often nuanced goals of patients with advanced illnesses and their families;
(2) the efficiency with which potentially scarce intensive and palliative healthcare services are delivered.
Scarce healthcare resources like intensive care unit beds, clinicians' time, transplantable organs, and palliative care services are more efficiently delivered to patients and families who benefit the most.
Patients pursuing aggressive and experimental care are prepared for the “what-ifs.”
Patients with advanced illnesses spend more of their time pursuing their life goals outside of healthcare facilities.