Relationships Between Various Attitudes Towards Self- Determination in Health Care With Special Reference to an Advance Directive
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 pur...
Published in: | Journal of Medical Ethics |
---|---|
Main Authors: | , |
Language: | English |
Published: |
1999
|
Subjects: | |
Online Access: | http://hdl.handle.net/10822/755562 https://doi.org/10.1136/jme.25.1.37 http://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Relationships+between+Various+Attitudes+towards+Self-Determination+In+health+Care+with+Special+Reference+to+an+Advance+Directive&title=Journal+of+Medical+Ethics.++&volume=25&issue=1&pages=37-41&date=1999&au=Eisemann,+Martin |
id |
ftgeorgetownuniv:oai:repository.library.georgetown.edu:10822/755562 |
---|---|
record_format |
openpolar |
spelling |
ftgeorgetownuniv:oai:repository.library.georgetown.edu:10822/755562 2023-10-09T21:54:36+02:00 Relationships Between Various Attitudes Towards Self- Determination in Health Care With Special Reference to an Advance Directive Eisemann, Martin Richter, Jorg 1999-02 Article http://hdl.handle.net/10822/755562 https://doi.org/10.1136/jme.25.1.37 http://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Relationships+between+Various+Attitudes+towards+Self-Determination+In+health+Care+with+Special+Reference+to+an+Advance+Directive&title=Journal+of+Medical+Ethics.++&volume=25&issue=1&pages=37-41&date=1999&au=Eisemann,+Martin en eng doi:10.1136/jme.25.1.37 Journal of Medical Ethics. 1999 Feb; 25(1): 37-41. 0306-6800 http://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Relationships+between+Various+Attitudes+towards+Self-Determination+In+health+Care+with+Special+Reference+to+an+Advance+Directive&title=Journal+of+Medical+Ethics.++&volume=25&issue=1&pages=37-41&date=1999&au=Eisemann,+Martin http://dx.doi.org/10.1136/jme.25.1.37 http://hdl.handle.net/10822/755562 BRL:MEDKIE/99169843 Adults Advance Directives Age Factors Allowing to Die Attitudes Autonomy Critically Ill Decision Making Drugs Doctors Education Females Health Health Care Intensive Care Units Knowledge Life Males Pain Palliative Care Patient Care Patients Prolongation of Life Public Opinion Surgery Survey Terminal Care Terminally Ill Ventilators Withholding Treatment 1999 ftgeorgetownuniv https://doi.org/10.1136/jme.25.1.37 2023-09-12T21:27:45Z 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. Other/Unknown Material Northern Sweden Georgetown University: DigitalGeorgetown Journal of Medical Ethics 25 1 37 41 |
institution |
Open Polar |
collection |
Georgetown University: DigitalGeorgetown |
op_collection_id |
ftgeorgetownuniv |
language |
English |
topic |
Adults Advance Directives Age Factors Allowing to Die Attitudes Autonomy Critically Ill Decision Making Drugs Doctors Education Females Health Health Care Intensive Care Units Knowledge Life Males Pain Palliative Care Patient Care Patients Prolongation of Life Public Opinion Surgery Survey Terminal Care Terminally Ill Ventilators Withholding Treatment |
spellingShingle |
Adults Advance Directives Age Factors Allowing to Die Attitudes Autonomy Critically Ill Decision Making Drugs Doctors Education Females Health Health Care Intensive Care Units Knowledge Life Males Pain Palliative Care Patient Care Patients Prolongation of Life Public Opinion Surgery Survey Terminal Care Terminally Ill Ventilators Withholding Treatment Eisemann, Martin Richter, Jorg Relationships Between Various Attitudes Towards Self- Determination in Health Care With Special Reference to an Advance Directive |
topic_facet |
Adults Advance Directives Age Factors Allowing to Die Attitudes Autonomy Critically Ill Decision Making Drugs Doctors Education Females Health Health Care Intensive Care Units Knowledge Life Males Pain Palliative Care Patient Care Patients Prolongation of Life Public Opinion Surgery Survey Terminal Care Terminally Ill Ventilators Withholding Treatment |
description |
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. |
author |
Eisemann, Martin Richter, Jorg |
author_facet |
Eisemann, Martin Richter, Jorg |
author_sort |
Eisemann, Martin |
title |
Relationships Between Various Attitudes Towards Self- Determination in Health Care With Special Reference to an Advance Directive |
title_short |
Relationships Between Various Attitudes Towards Self- Determination in Health Care With Special Reference to an Advance Directive |
title_full |
Relationships Between Various Attitudes Towards Self- Determination in Health Care With Special Reference to an Advance Directive |
title_fullStr |
Relationships Between Various Attitudes Towards Self- Determination in Health Care With Special Reference to an Advance Directive |
title_full_unstemmed |
Relationships Between Various Attitudes Towards Self- Determination in Health Care With Special Reference to an Advance Directive |
title_sort |
relationships between various attitudes towards self- determination in health care with special reference to an advance directive |
publishDate |
1999 |
url |
http://hdl.handle.net/10822/755562 https://doi.org/10.1136/jme.25.1.37 http://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Relationships+between+Various+Attitudes+towards+Self-Determination+In+health+Care+with+Special+Reference+to+an+Advance+Directive&title=Journal+of+Medical+Ethics.++&volume=25&issue=1&pages=37-41&date=1999&au=Eisemann,+Martin |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
BRL:MEDKIE/99169843 |
op_relation |
doi:10.1136/jme.25.1.37 Journal of Medical Ethics. 1999 Feb; 25(1): 37-41. 0306-6800 http://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Relationships+between+Various+Attitudes+towards+Self-Determination+In+health+Care+with+Special+Reference+to+an+Advance+Directive&title=Journal+of+Medical+Ethics.++&volume=25&issue=1&pages=37-41&date=1999&au=Eisemann,+Martin http://dx.doi.org/10.1136/jme.25.1.37 http://hdl.handle.net/10822/755562 |
op_doi |
https://doi.org/10.1136/jme.25.1.37 |
container_title |
Journal of Medical Ethics |
container_volume |
25 |
container_issue |
1 |
container_start_page |
37 |
op_container_end_page |
41 |
_version_ |
1779318236466118656 |