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
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
收藏
页码:386 / 401
页数:16
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