Elders' preferences for life-prolonging treatment and their proxies' substituted judgment: influence of the elders' current health.
Elders' preferences for life-prolonging treatment and their proxies' substituted judgment: influence of the elders' current health.
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DOI：
10.1177/0898264312454572
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发表时间：
2012-10
影响因子：
2.8
通讯作者：
Parks SM
中科院分区：
文献类型：
--
作者：
Winter L;Parks SM
健康状况不佳的人倾向于认为延长生命的治疗（例如，管饲）比健康的人更容易接受。代理人的替代判断是否显示出类似的倾向，即当老人健康状况较差时，他们会更容易接受老人的替代判断？在一个横截面的电话为基础的调查，202名老年人和他们的代理人，偏好4延长生命的治疗，在7个健康前景进行了检查有关的老年人目前的健康状况，操作的日常生活活动的赤字的数量。当老年人目前的健康状况相对较差时，老年人和代理人都表示更倾向于在健康状况较差的情况下接受延长生命的治疗。交互作用的效果至少是明显的代理人的替代判断为长者自己的喜好。研究结果提供了重要的洞察代理决策，并代表老年痴呆症或其他原因的决策能力丧失的代理决策具有特殊的意义。
People in poor health tend to view life-prolonging treatments (e.g., tube feeding) as more acceptable than do healthier people. Do proxies’ substituted judgments reveal a similar tendency, showing greater acceptance when the elder is in worse health? In a cross-sectional telephone-based survey of 202 elderly individuals and their proxies, preferences for 4 life-prolonging treatments in 7 health prospects were examined in relation to the elder’s current health status, operationalized as number of deficits in activities of daily living. Stronger preferences for life-prolonging treatments in worse-health prospects were expressed by both elders and proxies when the elders’ current health was relatively poor. The interaction effect was at least as pronounced for proxies’ substituted judgment as for elders’ own preferences. Findings provide important insight into proxy decision making and have particular implications for proxy decision making on behalf of elders with dementia or other causes of decisional incapacity.
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影响因子：
--
作者：
Fried, TR;Byers, AL;Dubin, JA
通讯作者：
Dubin, JA
影响因子：
3.7
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通讯作者：
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45.3
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作者：
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通讯作者：
TVERSKY, A