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Compliance with and understanding of advance directives among trainee doctors in the United Kingdom.
J Palliat Care. 2006 Autumn; 22(3):141-6.JP

Abstract

AIM

To investigate doctors' response to and understanding of the legal status of advance directives.

METHODS

A vignette-based study administered at palliative medicine, oncology, general practice, and geriatric medicine specialist registrar meetings (United Kingdom). Respondents determined the treatment to provide for a patient presenting with a myocardial infarction with or without an advance directive requesting maximum therapy.

RESULTS

Response rate 77% (43/56). Twenty-five percent (10/40) of respondents increased the care that they would provide in response to the advance directive (p = 0.004); 77% (33/43) support/strongly support use of advance directives; 51% (22/43) did not know the legal status of advance directives; 44% found that their medical school education was not an important influence on their decision making.

CONCLUSIONS

Advance directives requesting treatment can increase the level of care provided by the physician, however, most trainees chose a level of care different from that in the advance directive. Confusion exists among doctors about the legal status of advance directives, which limits their usefulness. Medical education needs to be improved to train doctors to deal with advance directives.

Authors+Show Affiliations

Sir Michael Sobell House, Oxford, England, UK.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17058751

Citation

Toller, Claire A Stark, and Marc M. Budge. "Compliance With and Understanding of Advance Directives Among Trainee Doctors in the United Kingdom." Journal of Palliative Care, vol. 22, no. 3, 2006, pp. 141-6.
Toller CA, Budge MM. Compliance with and understanding of advance directives among trainee doctors in the United Kingdom. J Palliat Care. 2006;22(3):141-6.
Toller, C. A., & Budge, M. M. (2006). Compliance with and understanding of advance directives among trainee doctors in the United Kingdom. Journal of Palliative Care, 22(3), 141-6.
Toller CA, Budge MM. Compliance With and Understanding of Advance Directives Among Trainee Doctors in the United Kingdom. J Palliat Care. 2006;22(3):141-6. PubMed PMID: 17058751.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Compliance with and understanding of advance directives among trainee doctors in the United Kingdom. AU - Toller,Claire A Stark, AU - Budge,Marc M, PY - 2006/10/25/pubmed PY - 2006/12/13/medline PY - 2006/10/25/entrez SP - 141 EP - 6 JF - Journal of palliative care JO - J Palliat Care VL - 22 IS - 3 N2 - AIM: To investigate doctors' response to and understanding of the legal status of advance directives. METHODS: A vignette-based study administered at palliative medicine, oncology, general practice, and geriatric medicine specialist registrar meetings (United Kingdom). Respondents determined the treatment to provide for a patient presenting with a myocardial infarction with or without an advance directive requesting maximum therapy. RESULTS: Response rate 77% (43/56). Twenty-five percent (10/40) of respondents increased the care that they would provide in response to the advance directive (p = 0.004); 77% (33/43) support/strongly support use of advance directives; 51% (22/43) did not know the legal status of advance directives; 44% found that their medical school education was not an important influence on their decision making. CONCLUSIONS: Advance directives requesting treatment can increase the level of care provided by the physician, however, most trainees chose a level of care different from that in the advance directive. Confusion exists among doctors about the legal status of advance directives, which limits their usefulness. Medical education needs to be improved to train doctors to deal with advance directives. SN - 0825-8597 UR - https://www.unboundmedicine.com/medline/citation/17058751/Compliance_with_and_understanding_of_advance_directives_among_trainee_doctors_in_the_United_Kingdom_ L2 - https://medlineplus.gov/advancedirectives.html DB - PRIME DP - Unbound Medicine ER -