We investigated whether a simple educational intervention following hospitalization would increase patients'execution of durable health care proxies.
We studied a consecutive series of patients (n=162) recently discharged from the acute care medical service of a community hospital where they had been interviewed about advance directives.
The intervention group was randomized to receive an educational brochure and encouragement to execute durable health care proxies.
The primary outcome was the proportion of patients in each group with completed durable health care proxies on file in their primary physicians'offices.
Overall, only 20 (12.3%) of 162 patients had documented proxies, 17 of whom (85%) were 65 years of age or older, with no difference between the intervention and control groups (11 [13.3% ] of 83 vs nine [11.4% ] of 79, respectively).
Subgroup analysis of elderly patients also revealed no intervention effect.
Univariate analysis revealed three significant predictors of patients'proxy completion.
Simple educational interventions, like those mandated by the Patient Self-Determination Act, are unlikely to increase patients'completion of durable healthcare proxies.
Multidimensional interventions that target both elderly patients and their personal physicians should be tested in the future.
Discussion in hospital about advance directives can be a useful component of such efforts.
Mots-clés Pascal : Hospitalisation, Soin santé primaire, Programme enseignement, Santé, Programme sanitaire, Homme
Mots-clés Pascal anglais : Hospitalization, Primary health care, Educational program, Health, Sanitary program, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0018672
Code Inist : 002B30A01C. Création : 01/03/1996.