Hospital Policy on Advance Directives: Do Institutions Ask Patients About Living Wills?
McCrary, S. Van
Botkin, Jeffrey R.
JAMA. 1989 Nov 3; 262(17): 2411-2414.
Hospitals throughout the United States were surveyed in 1988 to determine their policies on advance directives, including living wills and durable power of attorney documents. Sixty-seven percent of the 219 respondents reported some formal policy regarding advance directives. Most institutions made it the patient's responsibility to notify physicians of the existence of a directive, with only 4% of the hospitals querying the patient directly about an advance directive. State legislation on advance directives correlated positively with the drafting of a formal policy by hospitals, whereas the existence of an institutional ethics committee appeared to have no effect on whether a hospital had a formal policy on directives. The authors comment on the legal and ethical aspects of hospital policies on advance directives, and argue that all acute-care hospitals should establish a formal policy regarding directives and should ask patients upon admission if a directive has been completed. (KIE abstract)
Advance Directives; Allowing to Die; Clinical Ethics; Clinical Ethics Committees; Durable Power of Attorney; Ethics; Ethics Committees; Government; Hospitals; Hospital Policies; Institutional Ethics; Institutional Policies; Legislation; Living Wills; Patients; Physicians; Power; State Government; Statistics; Survey; Wills;
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