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  1. Fulltext. What do patients express as their preferences in advance directives ?

    Article - En anglais



    Since the passage of the Patient Self-Determination Act in 1991, there has been interest in urging patients to execute advance directives (ADs) for medical care.

    There are not much data, however, as to what the ADs that patients execute actually specify.

    I have investigated the percentage of inpatients and outpatients who are admitted to a community hospital who have executed ADs, and I have tabulated what preferences are actually expressed in the ADs that are in hospital records.


    A questionnaire is filled out by each patient admitted to this hospital, and their response recorded as to whether they have executed an AD.

    I have tabulated these responses for inpatients and outpatients for the calendar year 1994.

    I have also examined the ADs in all available hospital records, and tabulated the wishes expressed in these directives.


    For inpatient admissions during the calendar year 1994, of 8727 questionnaires completed, 11% of patients indicated that they had executed an AD.

    For outpatients, the corresponding figures are 22 966 and 15%. A total of 343 hospital records containing ADs were examined.

    Of these, 15 were nonmedical directives and were excluded.

    Of the 328 medical ADs, 86 (26%) were living wills, expressing the wish that if the individual had an incurable disease or irreversible injury that he or she not be given any treatment that would only delay death. (...)

    Mots-clés Pascal : Prise décision, Soin, Préférence individuelle, Etats Unis, Amérique du Nord, Amérique, Enquête opinion, Organisation santé, Homme

    Mots-clés Pascal anglais : Decision making, Care, Individual preference, United States, North America, America, Opinion inquiry, Public health organization, Human

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

    Cote : 98-0154829

    Code Inist : 002B27C. Création : 21/07/1998.