Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
WHY DO PHYSICIANS PREFER TO WITHDRAW SOME FORMS OF LIFE-SUPPORT OVER OTHERS - INTRINSIC ATTRIBUTES OF LIFE-SUSTAINING TREATMENTS ARE ASSOCIATED WITH PHYSICIANS PREFERENCES
Autore:
ASCH DA; CHRISTAKIS NA;
Indirizzi:
UNIV PENN,SCH MED,DIV GEN INTERNAL MED,317 RALSTONPENN CTR,3615 CHESTNUT ST PHILADELPHIA PA 19104 VET AFFAIRS MED CTR,GEN INTERNAL MED SECT PHILADELPHIA PA 00000 UNIV PENN,LEONARD DAVIS INST HLTH ECON PHILADELPHIA PA 19104 UNIV CHICAGO,DEPT SOCIOL CHICAGO IL 60637 UNIV CHICAGO,GEN INTERNAL MED SECT CHICAGO IL 60637
Titolo Testata:
Medical care
fascicolo: 2, volume: 34, anno: 1996,
pagine: 103 - 111
SICI:
0025-7079(1996)34:2<103:WDPPTW>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
DECISION-MAKING; EUTHANASIA; ATTITUDES; MODELS; ILL;
Keywords:
CRITICAL CARE; DECISION MAKING; LIFE SUPPORT CARE; ETHICS; EUTHANASIA; METHODOLOGY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Science Citation Index Expanded
Citazioni:
25
Recensione:
Indirizzi per estratti:
Citazione:
D.A. Asch e N.A. Christakis, "WHY DO PHYSICIANS PREFER TO WITHDRAW SOME FORMS OF LIFE-SUPPORT OVER OTHERS - INTRINSIC ATTRIBUTES OF LIFE-SUSTAINING TREATMENTS ARE ASSOCIATED WITH PHYSICIANS PREFERENCES", Medical care, 34(2), 1996, pp. 103-111

Abstract

Some physicians caring for critically ill patients have preferences for withdrawing some forms of life support over others, even after the decision to withdraw life support has already been made. Past researchhas attempted to explain these preferences by variations in clinical circumstances. The authors wondered whether differences in the forms of life support themselves might be important, and whether these differences would reveal implicit goals that physicians attempt to achieve. Four hundred fifty-six university-affiliated internists were surveyed and their rank-ordered preferences for withdrawing eight different forms of life support were assessed. The authors then sought to explain these preferences on the basis of intrinsic characteristics of the eight forms of life support determined by an expert panel of critical carephysicians. In general, the physicians studied prefer to withdraw forms of life support that are scarce, expensive, invasive, artificial, unnatural, emotionally taxing, high technology, and rapidly fatal when withdrawn. They prefer not to withdraw forms of therapy that require continuous rather than intermittent administration, and forms of therapy that cause pain when withdrawn. Even when a decision has been made to withdraw life-sustaining treatment from a patient, many physicians have preferences for the manner in which this is accomplished. These preferences may reflect perceived intrinsic characteristics of differentforms of life support that are consistent across physicians.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/10/20 alle ore 11:13:14