An Analysis of the Patient Self-Determination Act of 1990
An Analysis of the Patient Self-Determination Act of 1990
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DOI：
10.1080/10911359.2013.809287
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发表时间：
2013-01-01
影响因子：
1.6
通讯作者：
Mann, Aaron
中科院分区：
文献类型：
--
作者：
Hunsaker, Amanda E.;Mann, Aaron
预先指示（AD）提供了一种在生命结束时表达医疗护理偏好的方式，但它们未得到充分利用。本文分析了《病人自决法》的效果，并提出了完善反倾销立法的建议。虽然《患者自决法》旨在教育患者、临床医生和公众有关AD的知识，但还需要做更多的工作来改善在这一过程中可能被剥夺权利的个人参与临终关怀决策的情况。
Advance directives (ADs) provide a way to express medical care preferences at the end of life, yet they are underutilized. This article analyzes the effect of the Patient Self-Determination Act and presents recommendations for the improvement of AD legislation. Although the Patient Self-Determination Act was intended to educate patients, clinicians, and the public about ADs, more work is needed to improve involvement in end-of-life care decision making for individuals who may be disenfranchised in this process.