Physician perspectives and compliance with patient advance directives: the role external factors play on physician decision making
نویسندگان
چکیده
منابع مشابه
Physician perspectives and compliance with patient advance directives: the role external factors play on physician decision making
BACKGROUND Following passage of the Patient Self Determination Act in 1990, health care institutions that receive Medicare and Medicaid funding are required to inform patients of their right to make their health care preferences known through execution of a living will and/or to appoint a surrogate-decision maker. We evaluated the impact of external factors and perceived patient preferences on ...
متن کاملRelationship of advance directives to physician-patient communication.
BACKGROUND Although advance medical directives, such as living wills and durable powers of attorney for health care, are by themselves imperfect instruments for expressing patients' treatment preferences, a possible benefit of these documents is that they will enhance patient-physician communication, especially when end-of-life treatment decisions have to be made. METHOD Structured interviews...
متن کاملCommentary: the climate for physician adherence to psychiatric advance directives.
Factors that may be significant in rationalizing physician overrides of psychiatric advance directives (PADs) are not only features of individual clinical scenarios, but also are artifacts of the faltering mental health system being navigated by both provider and patient. This system, frequently viewed as hostile to consumer choice and increasingly focused on reacting to recurrent crises, is no...
متن کاملTHE PATIENT-PHYSICIAN RELATIONSHIP Communicating Evidence for Participatory Decision Making
PHYSICIANS SHOULD CREATE COLlaborative partnerships with patients (and families) in which clinical decisions are made using the best available evidence, consistent with patients’ values, goals, and capabilities. However, this ideal is rarely achieved. Physicians typically spend less than 1 minute out of a 20-minute visit discussing treatment and planning. Informed decision making occurs in only...
متن کاملPatient and physician views of shared decision making in cancer
CONTEXT Engaging patients in shared decision making involves patient knowledge of treatment options and physician elicitation of patient preferences. OBJECTIVE Our aim was to explore patient and physician perceptions of shared decision making in clinical encounters for cancer care. DESIGN Patients and physicians were asked open-ended questions regarding their perceptions of shared decision ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: BMC Medical Ethics
سال: 2012
ISSN: 1472-6939
DOI: 10.1186/1472-6939-13-31