Factors promoting completion of advance directives in the hospital.
The 1991 Patient Self-Determination Act required health care providers to give patients information about advance directives.
To investigate whether the requirement to distribute information to hospital patients increased completion of the health care proxy.
To also explore factors that might influence use of advance directives, including demographic variables and methods of informing patients about the directives.
Patients and Methods
We interviewed 419 randomly selected patients who were admitted for a planned admission to two tertiary care, teaching hospitals.
Before receiving hospital materials, 17% of all patients had completed proxies.
The most frequently cited barrier to completion of a proxy was not seeing the form.
Few patients said they did not want to think about the subject.
Completion rates for advance directives may be markedly improved by altering the time for distributing information to patients admitted to the hospital for a planned admission.
Patients were more likely to complete a proxy in the hospital that distributed the form in advance of the day of admission, a result that was unexplained by other variables in the study.
Although many patients would prefer to receive information about advance directives during an office visit with a physician, hospitalization can provide a valuable opportunity for many patients to complete directives.
Mots-clés Pascal : Hôpital, Malade, Prévision, Soin, Santé, Statut socioéconomique, Homme
Mots-clés Pascal anglais : Hospital, Patient, Forecasting, Care, Health, Socioeconomic status, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0539858
Code Inist : 002B30A04D. Création : 01/03/1996.