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. Fulltext. Barriers to completion of health care proxies : An examination of ethnic differences.

    Article - En anglais

    Fulltext.

    Background 

    Advance directives have not been uniformly used by different segments of the US population and studies have consistently shown a lower prevalence of advance directives among African Americans and Hispanics compared with non-Hispanic whites.

    Objective 

    To examine barriers to completion of health care proxies for different ethnic groups.

    Methods 

    One hundred ninety-seven subjects aged 65 years or older self-identified as African American (n=65), Hispanic (n=65), or non-Hispanic white (n=67) attending a geriatrics and internal medicine outpatient clinic of a large New York City teaching hospital were administered a questionnaire.

    Questionnaires were developed to examine potential barriers to completion of health care proxies.

    Barriers were drawn from the literature and from focus groups.

    Results 

    Significant predictors of proxy completion using logistic regression analysis included knowledge of health care proxies, availability of a health care agent, exposure to mechanical ventilation, age, and self-reported health status as fair to poor.

    Subjects who believed that a health care agent was irrelevant in the setting of involved family were significantly less likely to have completed a health care proxy.

    Although there were significant differences in the baseline completion rates of health care proxies for the 3 ethnic groups, ethnicity did not predict prior appointment of a health care agent in multivariate analysis. (...)

    Mots-clés Pascal : Soin intégré, Contrat, Statut socioéconomique, Barrière, Ethnie, Noir américain, Latinoaméricain, Prévalence, Etude comparative, Questionnaire, Caucasoïde, Facteur prédictif, Homme, Etats Unis, Amérique du Nord, Amérique, Organisation santé, Politique sanitaire

    Mots-clés Pascal anglais : Managed care, Contract, Socioeconomic status, Barrier, Ethnic group, Black American, Latinamerican, Prevalence, Comparative study, Questionnaire, Caucasoid, Predictive factor, Human, United States, North America, America, Public health organization, Health policy

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

    Cote : 99-0049386

    Code Inist : 002B30A03C. Création : 31/05/1999.