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Centre for Policy on Ageing | |
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Surrogate and physician understanding of patients' preferences for living permanently in a nursing home | Author(s) | Thomas J Mattimore, Neil S Wenger, Norman A Desbiens |
Journal title | Journal of the American Geriatrics Society, vol 45, no 7, July 1997 |
Pages | pp 818-824 |
Keywords | Admission [nursing homes] ; Attitude ; Patients ; Family care ; Medical workers ; United States of America. |
Annotation | Seriously ill older patients' willingness to live permanently in a nursing home was measured on a 5-point scale ranging from "very willing" to "rather die" in this study. Ordinary logistic regression was used to identify patient demographic and clinical characteristics associated with this preference. Surrogate and physician perceptions of patient preferences were compared with patients' responses, and factors associated independently with surrogate and physician understanding of patient preference were identified. Of 9105 patients, 3262 gave responses to the study question: 7% were very willing to live permanently in a nursing home; 19% were somewhat willing; 11% somewhat unwilling; 26% very unwilling; and 30% would rather die. Patients with more education, more disabilities, and black patients were more willing to live in a nursing home. Surrogates understood 61% of patients' nursing home preferences but identified only 35% of patients who were willing to live permanently in a nursing home. Physicians identified 18% of patients willing to live permanently in a nursing home. (AKM). |
Accession Number | CPA-980917402 A |
Classmark | LHB:QKH: DP: LF: P6:SJ: QT: 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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