Will outpatients complete living wills? View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1991-01

AUTHORS

Jan Hare, Carrie Nelson

ABSTRACT

Objective:To test the efficacy of two intervention methods that aimed to increase the percentage of adult clinic patients who completed living wills and placed them on file with their physicians within a four-month period.Design:There were one control and two intervention groups. Surveys were separated by age and gender categories and randomly selected for the final sample.Setting:The internal medicine outpatient clinic of a large tertiary hospital.Participants:All patients who visited the clinic were asked whether they would be willing to fill out a survey. The final sample included 167 adult patients who comprised three study groups.Interventions:The first intervention relied solely on a booklet that described the Minnesota Living Will Act, general information concerning advance directives, and medical interventions that could be considered extraordinary if used for a patient in a terminal condition. The second intervention relied on both the booklet and repeated physician-initiated discussions with the patient about the probable value of a living will.Main results:The booklet/physician intervention was found to be significantly more effective than either the booklet-only intervention or no intervention (p<0.05 and 0.01, respectively).Conclusions:The physician intervention used in this population could be undertaken in any primary care clinic. Time spent in discussion before a crisis may be significantly shorter and qualitatively better than time spent in discussion with families who must make decisions during a crisis. More... »

PAGES

41-46

References to SciGraph publications

  • 1988-07. Planning with elderly outpatients for contingencies of severe illness in JOURNAL OF GENERAL INTERNAL MEDICINE
  • 1989-09. Outpatient clinical ethics in JOURNAL OF GENERAL INTERNAL MEDICINE
  • 1988-07. Discussing cardiopulmonary resuscitation in JOURNAL OF GENERAL INTERNAL MEDICINE
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/bf02599390

    DOI

    http://dx.doi.org/10.1007/bf02599390

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1036920183

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/1999745


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