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Centre for Policy on Ageing | |
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| The doctor's role in discussing advance preferences for end-of-life care: perceptions of physicians practicing in the VA | | Author(s) | Lawrence Markson, Jack Clark, Leonard Glantz |
| Journal title | Journal of the American Geriatrics Society, vol 45, no 4, April 1997 |
| Pages | pp 399-406 |
| Keywords | Medical care ; Terminal care ; Wills ; Doctors ; United States of America. |
| Annotation | Discussion and documentation of patients' preferences for medical care in advance of incapacitating illness has been promoted widely as a means of enhancing autonomy and facilitating end-of-life decisions. Research has shown that physicians support such advance directives, however, little is known about how they actually participate in decision-making. Using data from a postal survey of physicians practising in the Department of Veterans Affairs in the United States, this study examined their experience of discussing and following advance preferences, and how they perceived their role in the advance decision-making process. Results showed that 82% of respondents though physicians should be responsible for initiating discussions about end-of-life care. The majority would try to persuade a patient to change a decision that was not well informed, not medically reasonable, or not in the patient's best interest; few would try to change decisions that were in conflict with their own moral beliefs. |
| Accession Number | CPA-970812251 A |
| Classmark | LK: LV: VTH: QT2: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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