Relationships between various attitudes towards self-determination in health care with special reference to an advance directive
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
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Journal of Medical Ethics 25 (1):37-41 (1999)
OBJECTIVES: The subject of patient self-determination in health care has gained broad interest because of the increasing number of incompetent patients. In an attempt to solve the problems related to doctors' decision making in such circumstances, advance directives have been developed. The purpose of this study was to examine relationships between public attitudes towards patient autonomy and advance directives. SUBJECTS AND MAIN OUTCOME MEASURES: A stratified random sample of 600 adults in northern Sweden was surveyed by a questionnaire with a response rate of 78.2%. The subjects were asked about their wish for control of their health care, their concerns about health care, their treatment preferences in a life-threatening situation (both reversible and irreversible), and their attitudes towards the application of advance directives. RESULTS: Numerous relationships between various aspects of self-determination in health care (desire for control, fears of over-treatment, and choice of treatment level) in general and advance directives, in particular, were found. Those who wanted to have a say in their health care (about 94%) also mainly supported the use of an advance directive. CONCLUSIONS: The fact that almost 30% of the respondents were undecided concerning their personal use of advance directives points to a lack of knowledge and to the necessity of education of the public on these issues
|Keywords||info:mesh/Advance Directives info:mesh/Fear info:mesh/Choice Behavior info:mesh/Aged info:mesh/Middle Aged info:mesh/Informed Consent info:mesh/Withholding Treatment info:mesh/Patient Participation info:mesh/Humans info:mesh/Adult Humans Withholding Treatment Questionnaires Attitude to Health Health Knowledge, Attitudes, Practice Fear Internal-External Control Choice Behavior Personal Autonomy Informed Consent Advance Directives Adult Aged Aged, 80 and over Middle Aged Patient Participation Sweden Female Male info:mesh/Aged, 80 and over info:mesh/Personal Autonomy info:mesh/Attitude to Health info:mesh/Internal-External Control info:mesh/Questionnaires info:mesh/Male info:mesh/Female info:mesh/Sweden info:mesh/Health Knowledge, Attitudes, Practice|
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