Factors Affecting Life-Sustaining Treatment Decisions by Health Care Surrogates and Proxies: Assessing Benefits and Barriers

被引：4

作者：

Buckey, Julia W. ^{[2
]}

Abell, Neil ^{[1
]}

机构：

[1] Florida State Univ, Coll Social Work, Tallahassee, FL 32306 USA

[2] Univ Cent Florida, Sch Social Work, Orlando, FL 32816 USA

来源：

SOCIAL WORK IN HEALTH CARE | 2009年 / 48卷 / 04期

关键词：

health care surrogate; health care proxy; life-sustaining treatment decisions; health care decision-making; HBM (Health Belief Model); SUBSTITUTED JUDGMENT; END; SUPPORT; WITHDRAWAL; FAMILIES;

D O I：

10.1080/00981380802606680

中图分类号：

C916 [社会工作、社会管理、社会规划];

学科分类号：

1204 ;

摘要：

Terri Schiavo's life and death placed international focus on social workers' need to better understand and serve health care surrogates and proxies making life-sustaining treatment decisions on behalf of medical patients. This study (N = 132) reports initial validation of a new measure, the Acceptance of Treatment Choice Inventory (ATCI), designed to evaluate benefits and barriers considered by health care surrogates and proxies prior to making a life-sustaining treatment decision about CPR, tube-feedings, dialysis, and ventilation. Affirming a two-factor model with acceptable reliability and preliminary construct validity, surrogates sought decision support and desired to represent patients' wishes adequately.

引用

页码：386 / 401

页数：16

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