Advance directives: The experience of health care professionals across the continuum of care
Advance directives: The experience of health care professionals across the continuum of care
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DOI：
10.1300/j010v28n03_03
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发表时间：
1999-01-01
影响因子：
2.2
通讯作者：
Wade, L
中科院分区：
文献类型：
--
作者：
Neuman, K;Wade, L
本研究探讨了整个护理连续体的医疗保健提供者的看法，如何有效的预先指示安排，以确保遵守病人的意愿，以及他们的整体满意度的过程。对调查作出回应的医疗保健提供者表示对预先指示的总体满意度很高，尽管患者完成率很低，最重要的是，替代决策准确反映了患者的意愿的信心水平很低。二次分析将医疗保健提供者的看法与消费者未能完成预先指示的原因进行了比较。进一步教育的需要被认为是由医疗保健专业人员，而不是由消费者的主要需求。然后提出了政策倡议和进一步研究的建议。
This study explored the perceptions of health care providers across the continuum of care as to how effective advance directive arrangements were in assuring compliance with the patients' wishes, as well as their overall satisfaction levels with the process. The health care providers who responded to the survey indicated high levels of overall satisfaction with advance directives, despite low patient completion rates and, most significantly, low confidence levels that surrogate decision making accurately reflected the patient's wishes. A secondary analysis compared the perceptions of health care providers with consumers' reasons for failing to complete advance directives. The need for further education was perceived as a primary need by the health care professionals but not by the consumers. Recommendations for policy initiatives and further research are then presented.