J. Andrew Billings, MD

Massachusetts General Hospital

Massachusetts General Hospital
Phone: (617) 724-9197
Fax: (617) 724-8693


J. Andrew Billings, MD

Massachusetts General Hospital


  • Associate Professor, Medicine, Harvard Medical School


  • Member, Center Scientific Council

Research Abstract

Palliative care, palliative care program development, pain management and symptom control, psychosocial and spiritual impact of cancer on patients and families, decision making, advance care planning, home care, hospice, training of physicians and other health care professionals in palliative care, faculty development, educational methodology and evaluation


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  • Billings JA, Bernacki R. Strategic targeting of advance care planning interventions: the goldilocks phenomenon. JAMA Intern Med 2014; 174:620-4. PubMed
  • Block SD, Billings JA. A need for scalable outpatient palliative care interventions. Lancet 2014. PubMed
  • Billings JA, Block SD. The demise of the liverpool care pathway? A cautionary tale for palliative care. J Palliat Med 2013; 16:1492-5. PubMed
  • Billings JA. Advance care planning intervention. J Am Geriatr Soc 2013; 61:172-3. PubMed
  • Billings JA. Getting the DNR. J Palliat Med 2012; 15:1288-90. PubMed
  • Billings JA. Advance care planning safeguards. J Gen Intern Med 2012; 27:1405. PubMed
  • Jacobsen J, Jackson V, Dahlin C, Greer J, Perez-Cruz P, Billings JA, Pirl W, Temel J. Components of Early Outpatient Palliative Care Consultation in Patients with Metastatic Nonsmall Cell Lung Cancer. J Palliat Med 2011. PubMed
  • Macauley R, Billings JA. Teaching small groups in palliative care. J Palliat Med 2011; 14:91-5. PubMed
  • Temel JS, Greer JA, Muzikansky A, Gallagher ER, Admane S, Jackson VA, Dahlin CM, Blinderman CD, Jacobsen J, Pirl WF, Billings JA, Lynch TJ. Early palliative care for patients with metastatic non-small-cell lung cancer. N Engl J Med 2010; 363:733-42. PubMed
  • Bruera E, Billings JA, Lupu D, Ritchie CS, . AAHPM position paper: requirements for the successful development of academic palliative care programs. J Pain Symptom Manage 2010; 39:743-55. PubMed
  • Billings JA. What really counts? Taking measure of measures. J Palliat Med 2010; 13:105-6. PubMed
  • Levy MH,Back A,Benedetti C,Billings JA,Block S,Boston B,Bruera E,Dy S,Eberle C,Foley KM,Karver SB,Knight SJ,Misra S,Ritchie CS,Spiegel D,Sutton L,Urba S,Von Roenn JH,Weinstein SM. NCCN Clinical Practice Guidelines in Oncology: Palliative Care. J Natl Compr Canc Netw 2009; 7:436-73. PubMed
  • Billings JA,Blinderman CD. A satisfying, inexpensive but briefer hospital survival with palliative care. J Palliat Med 2008; 11:1183. PubMed
  • Temel JS,McCannon J,Greer JA,Jackson VA,Ostler P,Pirl WF,Lynch TJ,Billings JA. Aggressiveness of care in a prospective cohort of patients with advanced NSCLC. Cancer 2008; 113:826-33. PubMed
  • Billings JA. Physician-nurse staffing on palliative care consultation services. J Palliat Med 2008; 11:819-20. PubMed
  • Blinderman CD, Homel P, Billings JA, Portenoy RK, Tennstedt SL. Symptom Distress and Quality of Life in Patients with Advanced Congestive Heart Failure. J Pain Symptom Manage 2008; 35:594-603. PubMed
  • Billings JA. Dignity. J Palliat Med 2008; 11:138-9. PubMed
  • Billings JA. A palliative care career. J Palliat Med 2007; 10:1258-61. PubMed
  • Billings J. Some reflections on a few of the pitfalls in the world of foundation grant making. Health Aff (Millwood) 2007; 26:1772-5. PubMed
  • Billings J, Mijanovich T. Improving the management of care for high-cost Medicaid patients. Health Aff (Millwood) 2007; 26:1643-54. PubMed
  • Dixon J, Chantler C, Billings J. Competition on outcomes and physician leadership are not enough to reform health care. JAMA 2007; 298:1445-7. PubMed
  • Blustein J, Regenstein M, Siegel B, Billings J. Notes from the field: jumpstarting the IRB approval process in multicenter studies. Health Serv Res 2007; 42:1773-82. PubMed
  • Temel JS, Jackson VA, Billings JA, Dahlin C, Block SD, Buss MK, Ostler P, Fidias P, Muzikansky A, Greer JA, Pirl WF, Lynch TJ. Phase II study: integrated palliative care in newly diagnosed advanced non-small-cell lung cancer patients. J Clin Oncol 2007; 25:2377-82. PubMed
  • Kempainen RR, Savik K, Whelan TP, Dunitz JM, Herrington CS, Billings JL. High prevalence of proximal and distal gastroesophageal reflux disease in advanced COPD. Chest 2007; 131:1666-71. PubMed
  • Billings JA. A primer on training slots for graduate medical education. J Palliat Med 2007; 10:12-6. PubMed
  • Marr L, Billings JA, Weissman DE. Spirituality training for palliative care fellows. J Palliat Med 2007; 10:169-77. PubMed
  • Mularski RA, Curtis JR, Billings JA, Burt R, Byock I, Fuhrman C, Mosenthal AC, Medina J, Ray DE, Rubenfeld GD, Schneiderman LJ, Treece PD, Truog RD, Levy MM. Proposed quality measures for palliative care in the critically ill: a consensus from the Robert Wood Johnson Foundation Critical Care Workgroup. Crit Care Med 2006; 34:S404-11. PubMed
  • Billings JA, Keeley A, Bauman J, Cist A, Coakley E, Dahlin C, Montgomery P, Thompson BT, Wise M,. Merging cultures: palliative care specialists in the medical intensive care unit. Crit Care Med 2006; 34:S388-93. PubMed
  • Sullivan AM, Lakoma MD, Billings JA, Peters AS, Block SD,. Creating enduring change: demonstrating the long-term impact of a faculty development program in palliative care. J Gen Intern Med 2006; 21:907-14. PubMed
  • Levy MH, Back A, Bazargan S, Benedetti C, Billings JA, Block S, Bruera E, Carducci MA, Dy S, Eberle C, Foley KM, Harris JD, Knight SJ, Milch R, Rhiner M, Slatkin NE, Spiegel D, Sutton L, Urba S, Von Roenn JH, Weinstein SM,. Palliative care. Clinical practice guidelines in oncology. J Natl Compr Canc Netw 2006; 4:776-818. PubMed
  • Billings JA. The Lake Bluff Forum for academic palliative medicine. J Pain Symptom Manage 2006; 31:481. PubMed
  • Carmody S, Meier D, Billings JA, Weissman DE, Arnold RM. Training of palliative medicine fellows: a report from the field. J Palliat Med 2005; 8:1005-15. PubMed
  • Block SD, Billings JA. Learning from the dying. N Engl J Med 2005; 353:1313-5. PubMed
  • Sullivan AM, Lakoma MD, Billings JA, Peters AS, Block SD,. Teaching and learning end-of-life care: evaluation of a faculty development program in palliative care. Acad Med 2005; 80:657-68. PubMed
  • Huertas PE, Billings JA. To hydrate or not to hydrate: is that the real question? J Support Oncol 2005; 2:483-5. PubMed
  • Billings JA. Survey of palliative medicine fellowship programs, 2003-2005. J Palliat Med 2005; 7:711-2. PubMed
  • Fromme E, Billings JA. Care of the dying doctor: on the other end of the stethoscope. JAMA 2003; 290:2048-55. PubMed
  • Billings JA, Dahlin C, Dungan S, Greenberg D, Krakauer EL, Lawless N, Montgomery P, Reid C. Psychosocial training in a palliative care fellowship. J Palliat Med 2003; 6:355-63. PubMed
  • Pantilat SZ, Billings JA. Prevalence and structure of palliative care services in California hospitals. Arch Intern Med 2003; 163:1084-8. PubMed
  • Choi YS, Billings JA. Opioid antagonists: a review of their role in palliative care, focusing on use in opioid-related constipation. J Pain Symptom Manage 2002; 24:71-90. PubMed
  • Billings JA, Gardner M, Putnam AT. A one-day, hospital-wide survey of dying inpatients. J Palliat Med 2002; 5:363-74. PubMed
  • Choi YS, Billings JA. Changing perspectives on palliative care. Oncology (Huntingt) 2002; 16:515-22; discussion 522-7. PubMed
  • Billings JA. Vicissitudes of the clinician-patient relationship in end-of-life care: recognizing the role for teams. J Palliat Med 2002; 5:295-9. PubMed
  • Billings JA, Block SD, Finn JW, LeGrand SB, Lupu D, Munger B, Schonwetter RS, von Gunten CF. Initial voluntary program standards for fellowship training in palliative medicine. J Palliat Med 2002; 5:23-33. PubMed
  • Billings JA, Pantilat S. Survey of palliative care programs in United States teaching hospitals. J Palliat Med 2001; 4:309-14. PubMed
  • Billings JA, Ferris FD, Macdonald N, Von Gunten C,. The role of palliative care in the home in medical education: report from a national consensus Conference. J Palliat Med 2001; 4:361-71. PubMed
  • Billings JA. Palliative medicine fellowship programs in the United States: year 2000 survey. J Palliat Med 2005; 3:391-6. PubMed
  • Billings JA. Recent advances: palliative care. BMJ 2000; 321:555-8. PubMed
  • Strand JJ, Billings JA. Integrating palliative care in the intensive care unit. J Support Oncol 2012; 10:180-7. PubMed
  • Billings JA, Churchill LR, Payne R. Severe brain injury and the subjective life. Hastings Cent Rep 2010; 40:17-21. PubMed
  • Block S, Billings JA. Nurturing humanism through teaching palliative care. Acad Med 1998; 73:763-5. PubMed
  • Quill TE, Meier DE, Block SD, Billings JA. The debate over physician-assisted suicide: empirical data and convergent views. Ann Intern Med 1998; 128:552-8. PubMed
  • Billings JA, Block S. Palliative care in undergraduate medical education. Status report and future directions. JAMA 1997; 278:733-8. PubMed
  • Billings JA, Block SD. Slow euthanasia. J Palliat Care 1996; 12:21-30. PubMed
  • Block SD, Billings JA. Patient requests for euthanasia and assisted suicide in terminal illness. The role of the psychiatrist. Psychosomatics 1995; 36:445-57. PubMed
  • Billings JA. Depression. J Palliat Care 1995; 11:48-54. PubMed
  • Billings JA, Block SD. Regulating physician-assisted death. N Engl J Med 1994; 331:1657; author reply 1658. PubMed
  • Billings JA. Neuropathic pain. J Palliat Care 1994; 10:40-3. PubMed
  • Block SD, Billings JA. Patient requests to hasten death. Evaluation and management in terminal care. Arch Intern Med 1994; 154:2039-47. PubMed
  • Billings JA. Anorexia. J Palliat Care 1994; 10:51-3. PubMed
  • Billings JA. Medical education for hospice care: a selected bibliography with brief annotations. Hosp J 1993; 9:69-83. PubMed
  • Stoeckle JD, Billings JA. A history of history-taking: the medical interview. J Gen Intern Med 1987; 2:119-27. PubMed
  • Billings JA, Coles R, Reiser SJ, Stoeckle JD. A seminar in 'Plain Doctoring'. J Med Educ 1985; 60:855-9. PubMed
  • Billings JA. Comfort measures for the terminally ill. Is dehydration painful? J Am Geriatr Soc 1985; 33:808-10. PubMed
  • Drew J, Stoeckle JD, Billings JA. Tips, status and sacrifice: gift giving in the doctor-patient relationship. Soc Sci Med 1982; 17:399-404. PubMed
  • Greenberg DA, Billings JA, Reiser S, Stoeckle JD. Introduction to the clinical interview: a course for optometry students. J Am Optom Assoc 1979; 50:165-8. PubMed
  • Billings JA, Stoeckle JD. Pelvic examination instruction and the doctor-patient relationship. J Med Educ 1977; 52:834-9. PubMed