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Advance Directives

Journal Article

Disaster Planning: Making Decisions in Advance for Very Sick Patients

Advanced care planning to avoid unwanted care at the end of life remains a low priority in patient care.

Jan 1, 2003
Journal Article

End-of-life Discussions and Preferences Among Persons with HIV

Half of all persons infected with HIV are at risk of making end-of-life decisions without prior discussions with their health care practitioners.

Jan 1, 2001
Journal Article

Communication and Decision-Making in Seriously Ill Patients: Findings of the SUPPORT Project

SUPPORT documents that physicians and surrogates are often unaware of seriously ill patients' preferences.

Jan 1, 2000
Journal Article

Age-related Differences in Care Preferences, Treatment Decisions, and Clinical Outcomes of Seriously Ill Hospitalized Adults: Lessons from SUPPORT

Seriously ill hospitalized older patients were treated less aggressively than younger patients.

Jan 1, 2000
Journal Article

Decision-Making and Outcomes of Prolonged ICU Stays in Seriously Ill Patients

Prolonged ICU stays were expensive and were often followed by death or disability.

Jan 1, 2000
Journal Article

Patients Who Want Their Family and Physician to Make Resuscitation Decisions for Them: Observations from SUPPORT and HELP

These results underscore the need to understand resuscitation preferences within a broader context of patient values.

Jan 1, 2000
Journal Article

Physician Understanding of Patient Resuscitation Preferences: Insights and Clinical Implications

Physicians often misunderstand seriously ill, hospitalized patients' resuscitation preferences, especially preferences to forego CPR.

Jan 1, 2000
Journal Article

Insights About Dying from the SUPPORT Project

SUPPORT aimed to describe and compare decision-making affecting seriously ill patients, it also illuminated other aspects of their course near death.

Jan 1, 2000
Journal Article

Patient Age and Decisions to Withhold Life-Sustaining Treatments from Seriously Ill, Hospitalized Adults

Controversy exists about the appropriateness of using age as a criterion for making treatment decisions.

Jan 1, 1999
Journal Article

Role of Written Advance Directives in Decision Making: Insights from Qualitative and Quantitative Data

The role of written advance directives (ADs) in medical decision making through examination of qualitative and quantitative data sources.

Jan 1, 1998
Journal Article

Outcomes, Preferences for Resuscitation, and Physician-Patient Communication Among Patients with Metastatic Colorectal Cancer

Describe characteristics, outcomes, and decision making in patients with colorectal cancer metastatic to the liver, and to examine the relationship of doctor-patient communication with patient understanding of prognosis and physician understanding of patients' treatment preferences.

Jan 1, 1998
Journal Article

Changes Over Time in the Use of Do Not Resuscitate Orders and the Outcomes of Patients Receiving Them

Do not resuscitate (DNR) orders are increasingly common, though there has been little evaluation of their changing use. The authors contrasted the use and outcomes of DNR orders for nationally representative samples of Medicare patients hospitalized with specific diagnoses in 1981 to 1982 and 1985 to 1986.

Apr 1, 1997
Journal Article

Do Advance Directives Provide Instructions That Direct Care?

To evaluate whether the lack of effect of advance directives (ADs) on decision-making in SUPPORT might arise, in part, from the content of the actual documents.

Jan 1, 1997
Journal Article

Factors Associated with Do-Not-Resuscitate Orders: Patients' Preferences, Prognoses, and Physicians' Judgments

Medical treatment decisions should be based on the preferences of informed patients or their proxies and on the expected outcomes of treatment.

Aug 15, 1996
Journal Article

Factors Associated with Change in Resuscitation Preference of Seriously Ill Patients

During serious illness, patient preferences regarding life-sustaining treatments play an important role in medical decisions. However, little is known about life-sustaining preference stability in this population or about factors associated with preference change.

Jul 22, 1996
Journal Article

Choices of Seriously Ill Patients About Cardiopulmonary Resuscitation: Correlates and Outcomes

For patients hospitalized with serious illnesses, we identified factors associated with a stated preference to forgo cardiopulmonary resuscitation (CPR), examined physician-patient communication about these issues, and determined the relationship of patients' preferences to intensity of care and survival.

Feb 1, 1996
Journal Article

Epidemiology of Do-Not-Resuscitate Orders: Disparity By Age, Diagnosis, Gender, Race, and Functional Impairment

After adjustment for sickness at admission and functional impairment, DNR orders were assigned more often to older patients and differed by diagnosis.

Jan 1, 1995
Journal Article

Prior Capacity of Patients Lacking Decision Making Ability Early in Hospitalization: Implications for Advance Directive Administration

The authors evaluated the capability of seriously ill patients to participate in decision making early in hospitalization and their decision making capacity two weeks before hospital entry.

Oct 1, 1994
Journal Article

Do Formal Advance Directives Affect Resuscitation Decisions and the Use of Resources for Seriously Ill Patients?

The role of advance directives in resuscitation decision making and assessment of seriously ill patients.

Jan 1, 1994
People

Julia Bandini

Associate Behavioral and Social Scientist; Professor of Policy Analysis, Pardee RAND Graduate School
Education Ph.D. in sociology, Brandeis University; B.A. in sociology, College of the Holy Cross

RAND Topic:
Advance Directives

Research conducted by

RAND Health Care