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The Patient Self-Determination Act and Advance Directives: Snapshots of Activities in a Tertiary Health Care Center |
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| Authors: | John D. Engel Gregory Kane Deborah L. Jones Debra Lynn-McHale Martha Swartz Paul Durbin Don Klingen |
| Affiliation: | 1. Northeastern Ohio Universities College of Medicine, Rootstown, Ohio 2. Jefferson Medical College, Philadelphia, Pennsylvania 3. Accreditation Council for Graduate Medical Education, USA 4. University of Delaware, Newark, Delware |
| Abstract: | This study describes the results of a retrospective review of patients' charts who had an advanced directive (AD) and who were hospitalized in a tertiary, acute care teaching hospital. The purpose of the review was to understand from clinical, sociological, ethical and legal perspectives the nature and utility of ADs. Findings and implications of the review are discussed in terms of: patient demographics; diagnoses; quality of ADs; influence of ADs on clinical decisions; and legal aspects of ADs. |
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