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The illusion of end-of-life resource savings with advance directives
Author(s)Joan M Teno, Joanne Lynn, Alfred F Connors Jr,
Journal titleJournal of the American Geriatrics Society, vol 45, no 4, April 1997
Pagespp 513-518
KeywordsMedical care ; Terminal care ; Wills ; Hospital services ; Costs [care] ; United States of America.
AnnotationThis study examined whether increasing documentation of advance directives (ADs), or living wills, results in a reduction in use of resources for patients who are dying. It assessed the changes in use of resources among patients who died in a hospital before and after the implementation of the Patient Self-Determination Act (PSDA) in 1991, which require health care institutions to ask about and document existing ADs at the time of admission, and before and after interventions carried out by the Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments (SUPPORT) to facilitate patient-physician communication about end-of-life treatments. Results showed that an increase in the documentation of pre-existing ADs was not associated with a reduction in hospital resource use.
Accession NumberCPA-970812258 A
ClassmarkLK: LV: VTH: LD: QDC: 7T

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