The POLST (Physician Orders for Life-Sustaining Treatment) Paradigm to improve end-of-life care: Potential state legal barriers to implementation
The POLST (Physician Orders for Life-Sustaining Treatment) Paradigm to improve end-of-life care: Potential state legal barriers to implementation
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DOI：
10.1111/j.1748-720x.2008.00242.x
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发表时间：
2008-03-01
影响因子：
2.1
通讯作者：
Nester, Jessica Wehrle
中科院分区：
文献类型：
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作者：
Hickman, Susan E.;Sabatino, Charles R.;Nester, Jessica Wehrle
维持生命治疗医生订单(POLST)模式旨在通过将患者的治疗偏好转换为可在整个医疗保健系统中传递的医疗订单来改善临终护理。它最初是在俄勒冈州开发的，但现在已在多个州实施，其他许多州也在考虑使用它。开展了一项观察性研究，以确定实施POLST范例的潜在法律障碍。信息是从州紧急医疗服务机构和长期护理组织/机构的专家那里获得的，同时审查了相关的州法律。
The Physician Orders for Life-Sustaining Treatment (POLST) Paradigm is designed to improve end-of-life care by converting patients' treatment preferences into medical orders that are transferable throughout the health care system. It was initially developed in Oregon, but is now implemented in multiple states with many others considering its use. An observational study was conducted in order to identify potential legal barriers to the implementation of a POLST Paradigm. Information was obtained from experts at state emergency medical services and long-term care organizations/agencies in combination with a review of relevant state law.