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
Jack Alan Reynolds
Learn more about PhilPapers
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|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
No citations found.
Similar books and articles
Benjamin H. Levi & Michael J. Green (2010). Too Soon to Give Up: Re-Examining the Value of Advance Directives. American Journal of Bioethics 10 (4):3 – 22.
Michael A. Rie (1992). Practicing Medicine, Fiduciary Trust Privacy, and Public Moral Interloping After Cruzan. Journal of Medicine and Philosophy 17 (6):647-664.
Jukka Varelius (2011). Respect for Autonomy, Advance Directives, and Minimally Conscious State. Bioethics 25 (9):505-515.
Dan W. Brock (2001). Children's Rights to Health Care. Journal of Medicine and Philosophy 26 (2):163 – 177.
Marshall B. Kapp (1993). Nursing Home Compliance with the Patient Self-Determination Act: Does Jewish Affiliation Make a Difference? [REVIEW] HEC Forum 5 (4):223-236.
Christopher Buford (2008). Advancing an Advance Directive Debate. Bioethics 22 (8):423-430.
J. Vollmann (2001). Advance Directives in Patients with Alzheimer's Disease; Ethical and Clinical Considerations. Medicine, Health Care and Philosophy 4 (2):161-167.
John D. Engel, Gregory Kane, Deborah L. Jones, Debra Lynn-McHale, Martha Swartz, Paul Durbin & Don Klingen (1997). The Patient Self-Determination Act and Advance Directives: Snapshots of Activities in a Tertiary Health Care Center. [REVIEW] Journal of Medical Humanities 18 (3):193-208.
Renate G. Justin (1987). The Value History: A Necessary Family Document. Theoretical Medicine and Bioethics 8 (3).
D. Blondeau, P. Valois, E. W. Keyserlingk, M. Hebert & M. Lavoie (1998). Comparison of Patients' and Health Care Professionals' Attitudes Towards Advance Directives. Journal of Medical Ethics 24 (5):328-335.
Daniel P. Sulmasy (1993). What's so Special About Medicine? Theoretical Medicine and Bioethics 14 (1):379-380.
Katrina A. Bramstedt (2011). Finding Your Way: Through the Maze of Medical Ethics in Modern Health Care. Hilton Pub..
David J. Doukas, Toni Antonucci & Daniel W. Gorenflo (1992). A Multigenerational Study on the Correlation of Values and Advance Directives. Ethics and Behavior 2 (1):51 – 59.
Ole Frithjof Norheim (1995). The Norwegian Welfare State in Transition: Rationing and Plurality of Values as Ethical Challenges for the Health Care System. Journal of Medicine and Philosophy 20 (6):639-655.
Added to index2010-09-13
Total downloads6 ( #336,406 of 1,726,249 )
Recent downloads (6 months)1 ( #369,877 of 1,726,249 )
How can I increase my downloads?