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. Validation of preferences for life-sustaining treatment : Implications for advance care planning.

    Article - En anglais

    Background 

    Treatment preferences established before life-threatening illness occurs may differ from actual decisions because of changes in preferences or poor understanding of the link between prospective preferences and outcomes.

    Objective 

    To evaluate the validity of prospective treatment preferences by examining their concordance with ratings of health states.

    Design 

    Survey of seven cohorts of persons with diverse health status.

    Home-and hospital-based interviews were conducted at baseline and at 6,18, and 30 months.

    Setting 

    The greater Seattle area.

    Participants 

    Younger and older well adults ; persons with chronic conditions, terminal cancer, or AIDS ; stroke survivors ; and nursing home residents.

    Measurements 

    Concordance between six treatment preferences and five health state ratings (on a seven-point scale) was assessed by using logistic regression to measure the increase in odds of treatment refusal for each one-point change in health state ratings.

    Preferences were considered concordant if treatments were refused in health states rated as worse than death and were accepted in health states rated as better than death.

    Reasons for discordance were elicited at the final interview.

    Results 

    The probability of refusal of prospective treatment was strongly related to health state ratings.

    Odds ratios ranged from 1.7 to 1.9 (P<0.001) for every treatment. (...)

    Mots-clés Pascal : Traitement, Longue durée, Prospective, Stade avancé, Etude cohorte, Enquête publique, Critère décision, Validation, Homme, Relation médecin malade, Organisation santé, Economie santé

    Mots-clés Pascal anglais : Treatment, Long lasting, Prospective, Advanced stage, Cohort study, Public inquiry, Decision criterion, Validation, Human, Physician patient relation, Public health organization, Health economy

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

    Cote : 97-0506808

    Code Inist : 002B30A04B. Création : 13/02/1998.