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Old Age, Life Extension, and Geriatrics

老年、延长寿命和老年病学

基本信息

批准号：
6921497
负责人：
SHARON R KAUFMAN
金额：
$ 34.09万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
依托单位国家：
美国
项目类别：
财政年份：
2002
资助国家：
美国
起止时间：
2002-09-30 至 2007-08-31
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): The goal of this 4-year qualitative anthropological study is to investigate first, how physicians, patients age 70 and over and their families make decisions regarding the use of three groups of life-extending medical procedures (cardiac bypass, angioplasty and stent; kidney and liver transplant; and renal dialysis) and how they each respond to those procedures; and second, to identify socio-cultural issues of relevance to physicians and to society regarding the growing use of life-extending medical procedures on elderly patients. This will be an empirical, ethnographic study based on the collection of data by in-depth interviews with physicians, patients and their families, and by participant-observation of support groups for cardiac and transplant patients and of physician-patient discussions where life-extending procedures are discussed. There are 4 specific aims:1) to provide a descriptive account of physician, patient, and family understandings of relationships among changing conceptions of old age, health in late life and expectations about life-extending medical care; 2) to learn how physicians in different specialties are extending the lives of their elderly patients and the values underlying their decisions; 3) to learn the structural and cultural constraints on their choices for life-extending procedures; and 4) to describe patient and family choices, knowledge and values. Coding-based qualitative data analysis will be used: cross-sectional comparison, thematic analysis, case studies, and frequencies of response. The interpretive goal is to examine in detail the social, structural and medical practices and values brought to bear on the extension of life at progressively older ages. This will be the first research that comprehensively addresses medical and lay decision-making surrounding life-extending medical procedures for older persons, and the responses and experiences of physicians, patients and families to those procedures.

描述（由申请人提供）：这项为期4年的定性人类学研究的目标是首先调查医生、70岁及以上的患者及其家属如何决定使用三组延长生命的医疗程序（心脏搭桥、血管成形术和支架；肾脏和肝脏移植；肾脏透析）以及他们各自对这些程序的反应；其次，确定与医生和社会有关的社会文化问题，因为老年患者越来越多地使用延长生命的医疗程序。这将是一项实证的、人种学的研究，其基础是通过对医生、患者及其家属的深入访谈，以及对心脏和移植患者支持小组的参与者观察，以及讨论延长生命程序的医患讨论，收集数据。有4个具体目标：1)提供医生、患者和家庭对老年观念变化、晚年健康和延长生命的医疗保健期望之间关系的理解的描述性说明；2)了解不同专业的医生如何延长老年患者的生命，以及他们决策背后的价值观；3)了解结构和文化限制他们选择延长生命的程序；4)描述患者和家属的选择、知识和价值观。将使用基于编码的定性数据分析：横断面比较、专题分析、案例研究和响应频率。解释性的目标是详细审查对逐渐变老的人延长寿命产生影响的社会、结构和医疗做法和价值观。这将是第一次全面探讨围绕延长老年人生命的医疗程序的医疗和非专业决策，以及医生、病人和家属对这些程序的反应和经验的研究。