How well is the patient self-determination act working?: An early assessment☆
References (28)
- Omnibus Budget Reconciliation Act of 1990. Public Law No. 101–508 Paragraph 4206,...
- et al.
Sources of concern about the patient self-determination act
N Engl J Med
(1991) - et al.
Advance directives on admission: clinical implications and analysis of the Patient Self-Determination Act of 1990
JAMA
(1991) - et al.
The Patient Self-Determination act: on balance, more help than hindrance
JAMA
(1991) - et al.
The Patient Self-Determination Act and the future of advance directives
Ann Intern Med
(1991) The Patient Self-Determination Act: not now
Hastings Cent Rep
(1990)- et al.
Advance directives for medical care—a case for greater use
N Engl J Med
(1991) - et al.
Discussing cardiopulmonary resuscitation: a study of elderly outpatients
J Gen Intern Med
(1988) - et al.
Planning with elderly outpatients for contingencies of severe illness: a survey and clinical trial
J Gen Intern Med
(1988)
Biostatistical analysis
Nonparametric statistical methods
Applied logistic regression
Attitudes regarding life-extending medical care among the elderly and their children
Gerontologist
Cited by (110)
Editorial: Advance Care Planning as Key to Person Centered Care: Evidence and Experiences, Programmes and Perspectives
2023, Zeitschrift fur Evidenz, Fortbildung und Qualitat im GesundheitswesenLimitations on therapeutic efforts: Much more than not doing
2013, Revista Colombiana de PsiquiatriaAdvance directives in Spain: Contents, limits and clinical applications
2007, Revista de Calidad AsistencialBarriers to the Implementation of Palliative Care in the Nursing Home
2007, Journal of the American Medical Directors AssociationCitation Excerpt :Few people complete and use advance directives because of these barriers. The prevalence of written advance directive use nationwide is approximately 25% and, surprisingly, failed to significantly increase after the passage of the Patient Self-Determination Act 1997.10–13 Seymour et al14 found that it may be preferable to emphasize advance care planning as a process of discussion and review between patients and their families and physicians over time instead of a once-and-for-all decision.
Advance Care Planning in Patients Undergoing Hematopoietic Cell Transplantation
2007, Biology of Blood and Marrow TransplantationCitation Excerpt :In the Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment (SUPPORT), which enrolled patients with a median predicted life expectancy of 6 months, 20%–24% of patients had advance directives at the time of the index hospitalization [19]. The prevalence of advance directives varies across studies, although most demonstrate completion rates comparable to or lower than those observed in SUPPORT [16,18,20-29]. Several studies suggest that the prevalence of advance directives may be higher in patients with cancer than in other groups [20,24,30,31].
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The research was supported in part by the DeCamp Foundation.
- 1
Ezekiel Emanuel is a recipient of an American Cancer Society Career Development Award
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Linda Emanuel is a recipient of an American College of Physicians Teaching and Research Scholarship.