Understanding the Views of Those Who Care for Patients With Cancer on Advance Care Planning and End-of-life Care

被引：11

作者：

Mattes, Malcolm D. ^{[1
]}

Tung, Kaity ^{[1
]}

Baum, Rachel ^{[1
]}

Parikh, Kapila ^{[1
]}

Ashamalla, Hani ^{[1
]}

机构：

[1] New York Methodist Hosp, Dept Radiat Oncol, Brooklyn, NY 11215 USA

来源：

AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE | 2015年 / 32卷 / 08期

关键词：

advance care planning; advance medical planning; attitude to death; end-of-life care; cancer; oncology; prognosis; palliative care; TREATMENT PREFERENCES; INTENSIVE-CARE; PHYSICIANS; ATTITUDES; HEALTH; DEATH; DISCUSSIONS; DISCLOSURE; PROGNOSIS; QUALITY;

D O I：

10.1177/1049909114540035

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

An electronic survey was used to assess the views of a diverse nationwide cohort of health care professionals regarding advance care planning and end-of-life care. A total of 645 responses were received. If diagnosed with a serious incurable illness with limited life expectancy, 97% would want to discuss their prognosis, 74% would refuse cardiopulmonary resuscitation, and 72% favored supportive/comfort care to more aggressive life-prolonging treatments. However, prognosis was thought to be discussed with only 52% of such patients, and just 5% thought doctors were either very or extremely successful at explaining advanced life-sustaining treatments to patients. Greater than 90% believed these discussions should best occur when a patient is thought to have one or more years to live and 80% thought they are best initiated in the outpatient setting.

引用

页码：802 / 809

页数：8

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