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To identify dominant themes characterizing patients' perspectives on death during their last months of life, an ethnographic technique of interviewing and an inductive qualitative approach to analysis were employed. The interviews were audiotaped, transcribed, and subjected to independent analysis by both authors using standard qualitative techniques. Patients were referred to the study by Beth Israel Medical Center clinicians if they had a diagnosis of a life-threatening condition of which they were aware; were likely to die within one year according to their physician; had experienced symptoms of the illness; were sufficiently alert to discuss the topics addressed in the study; conversed easily in English; and consented to participate.
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