作者
Joan Teno, Joanne Lynn, Neil Wenger, Russell S Phillips, Donald P Murphy, Alfred F Connors Jr, Norman Desbiens, William Fulkerson, Paul Bellamy, William A Knaus
发表日期
1997/4
期刊
Journal of the American Geriatrics Society
卷号
45
期号
4
页码范围
500-507
出版商
Blackwell Publishing Ltd
简介
OBJECTIVE: To assess the effectiveness of written advance directives (ADs) in the care of seriously ill, hospitalized patients. In particular, to conduct an assessment after ADs were promoted by the Patient Self‐Determination Act (PSDA) and enhanced by the effort to improve decision‐making in the Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments (SUPPORT), focusing upon the impact of ADs on decision‐making about resuscitation.
DESIGN: Observational cohort study conducted for 2 years before (PRE) and for 2 years after (POST) the PSDA, with a randomized, controlled trial of an additional intervention to improve decision‐making after the PSDA (POST+SUPPORT).
SETTING: Five teaching hospitals in the United States
PATIENTS: A total of 9105 seriously ill patients treated in five teaching hospitals.
INTERVENTIONS: The PSDA mandated patient education about ADs at …
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