logo BDSP

Base documentaire


Votre avis nous intéresse

Le réseau BDSP met en oeuvre un projet d'innovation et d'amélioration de ses services, dans le souci constant de proposer des contenus de qualité adaptés aux besoins des utilisateurs.

Identifier de nouvelles sources de financements est la condition nécessaire pour assurer la poursuite et la pérennité de cet outil unique qu'est la BDSP, tout en le faisant évoluer.

Pour définir un nouveau modèle économique, nous avons besoin de votre avis : merci de répondre à notre enquête (temps estimé : 5 minutes).

Participer maintenant
Participer plus tard J'ai déjà participé

  1. Medical futility decisions and physicians'legal defensiveness : the impact of anticipated conflict on thresholds for end-of-life treatment.

    Article - En anglais

    Does legal defensiveness significantly influence physicians'assessments of medical futility, in ways that may adversely affect the rights of patients and their family members to make their own health care decisions at the end of life ?

    This exploratory study addresses that question with attitudinal data from a survey of 301 physicians practicing in academic medical centers in Texas.

    The majority of respondents indicated that the probability of success defining futile treatment should hypothetically be lower for patients with potential to benefit more from life-sustaining medical intervention (e.g. typically patients who are sentient), and higher for patients with less potential to benefit (e.g. patients in a persistent vegetative state).

    That is to say, physicians normally perceive longer odds to be worth pursuing for greater potential gain-a position that seems logically consonant with patients'rational self-interest.

    However, physicians with an attitude of extreme legal defensiveness did not fit this pattern.

    Rather, they tended to define futility in a manner that would maximize the physician's latitude to justifiably oppose patient preferences for end-of-life treatment abatement.

    These findings suggest that some physicians assume an adversarial position in their consideration of medical futility issues-an attitude that anticipates conflict with terminally-ill patients or their surrogates.

    The analysis presented here is not definitive, but at least raise...

    Mots-clés Pascal : Soin intensif, Soin palliatif, Stade terminal, Homme, Prise décision, Médecin, Personnel sanitaire, Attitude, Enquête, Texas, Ethique, Réanimation, Etats Unis, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Intensive care, Palliative care, Terminal stage, Human, Decision making, Physician, Health staff, Attitude, Inquiry, Texas, Ethics, Resuscitation, United States, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0082962

    Code Inist : 002B30A05. Création : 199608.