Use of chart reminders for physicians to promote discussion of advance directives in patients with AIDS.
To determine if use of physician chart reminder improves the rate of physician-initiated discussion and subsequent completion of advance directives (ADs) in patients with AIDS, a controlled study was conducted with 74 patients with AIDS and ten physicians providing primary care at a university-based hospital clinic.
Chart reminders were placed on medical records of intervention patients at each primary care clinic visit for six months.
Twelve out of 39 (31%) reminder group patients, but only three out of 35 (9%, p=0.02) control patients underwent AD discussion with physicians.
Further, more subjects in the reminder group completed ADs (28% versus 9%, p=0.03).
Controlling for demographic and clinical factors, only assignment to reminder group was associated with discussion and completion of ADs.
Physician-level analysis showed that the effect was physician-dependent.
Physician chart reminders are an effective tool for promoting discussion and completion of ADs in patients with AIDS although the effect is physician-dependent.
Mots-clés Pascal : Soin santé primaire, Relation médecin malade, Milieu hospitalier, SIDA, Virose, Infection, Prise décision, Rôle professionnel, Médecin généraliste, Homme, Immunopathologie, Immunodéficit
Mots-clés Pascal anglais : Primary health care, Physician patient relation, Hospital environment, AIDS, Viral disease, Infection, Decision making, Occupational role, General practitioner, Human, Immunopathology, Immune deficiency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0351045
Code Inist : 002B05C02D. Création : 14/12/1999.