Would They Follow What Has Been Laid Down? Cancer Patients' and Healthy Controls' Views on Adherence to Advance Directives Compared to Medical Staff
Medicine, Health Care and Philosophy: A European Journal 2005; 8(3): 297-305
Advance directives are propagated as instruments to maintain patients' autonomy in case they can no longer decide for themselves. It has been never been examined whether patients' and healthy persons themselves are inclined to adhere to these documents. Patients' and healthy persons' views on whether instructions laid down in advance directives should be followed because that is (or is not) "the right thing to do", not because one is legally obliged to do so, were studied and compared with that of medical staff. METHOD: Vignette study presenting five cases. Cancer patients, healthy persons, nursing staff and physicians (n = 100 in each group) were interviewed. An adherence score was calculated (maximum value 5). The adherence score is found to be low in all groups, yet lowest in patients (1.55; standard deviation 1.13) and healthy controls (1.60; 1.37). The scores are significantly different between nursing staff on the one hand and patients and healthy controls on the other (p
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Attitudes Towards and Barriers to Writing Advance Directives Amongst Cancer Patients, Healthy Controls, and Medical Staff Sahm, S.; Will, R.; Hommel, G. (2005-08)OBJECTIVES: After years of public discussion too little is still known about willingness to accept the idea of writing an advance directive among various groups of people in EU countries. We investigated knowledge about ...
What Are Cancer Patients' Preferences About Treatment at the End of Life, and Who Should Start Talking About It? A Comparison With Healthy People and Medical Staff Sahm, S.; Will, R.; Hommel, G. (2005-04)