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Titolo:
A PROSPECTIVE-STUDY OF THE IMPACT OF PATIENT PREFERENCES ON LIFE-SUSTAINING TREATMENT AND HOSPITAL COST
Autore:
DANIS M; MUTRAN E; GARRETT JM; STEARNS SC; SLIFKIN RT; HANSON L; WILLIAMS JF; CHURCHHILL LR;
Indirizzi:
UNIV N CAROLINA,DEPT MED CHAPEL HILL NC 00000 UNIV N CAROLINA,DEPT HLTH BEHAV & HLTH EDUC CHAPEL HILL NC 00000 UNIV N CAROLINA,DEPT HLTH POLICY & ADM CHAPEL HILL NC 00000 UNIV N CAROLINA,DEPT SOCIAL MED CHAPEL HILL NC 00000 UNIV N CAROLINA,SHEPS CTR HLTH SERV RES CHAPEL HILL NC 00000
Titolo Testata:
Critical care medicine
fascicolo: 11, volume: 24, anno: 1996,
pagine: 1811 - 1817
SICI:
0090-3493(1996)24:11<1811:APOTIO>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
INTENSIVE-CARE; ADVANCE DIRECTIVES; RESUSCITATION; DECISIONS; SUPPORT; LIMITS;
Keywords:
PATIENTS RIGHTS; RIGHT TO TREATMENT; PATIENT PARTICIPATION; LIFE-SUPPORT CARE; HEALTH-CARE COSTS, FEES, AND CHARGES; ETHICS; HEALTH-CARE DELIVERY; CRITICAL ILLNESS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
34
Recensione:
Indirizzi per estratti:
Citazione:
M. Danis et al., "A PROSPECTIVE-STUDY OF THE IMPACT OF PATIENT PREFERENCES ON LIFE-SUSTAINING TREATMENT AND HOSPITAL COST", Critical care medicine, 24(11), 1996, pp. 1811-1817

Abstract

Objectives: Ethicists advise that life-sustaining treatment decisionsshould be made in keeping with patient preferences. Until recently, there has been little systematic study of the impact of patient preferences on the use of various life-sustaining treatments or the consequent cost of hospital care. This prospective study was designed to answerthe following questions: a) Do patient treatment preferences about the use of life-sustaining treatment influence the treatments they receive? and b) Do patient treatment preferences influence the total cost of their hospitalization? Design: A prospective, cohort study. Setting:A university teaching hospital. Patients: Hospitalized patients, at least 50 yrs of age, with short life expectancy due to end-stage heart,lung, or liver disease, metastatic cancer, or lymphoma. Interventions: None. Measurements and Main Results: Patients were interviewed to determine their desire for life-sustaining treatment and other characteristics and then were followed for 6 months to determine life-sustaining treatment use and costs during hospitalization. Two hundred forty-four patients were interviewed. Fifty-eight percent of patients expressed a desire for life-sustaining treatments to prolong life for 1 wk. During 245 subsequent hospitalizations, there were 20 episodes of mechanical ventilation, 63 episodes of intensive care, and 66 cancer treatments given. Bivariate and multivariate analyses showed no significant association between patient desire to receive treatment to prolong lifeand either life sustaining treatment use (p=.59) or hospital costs (p=.20). Conclusion: In a university teaching hospital setting, there isno systematic evidence that patient preferences determine life-sustaining treatment use or hospital costs.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/09/20 alle ore 22:57:15