Effects of offering advance directives on medical treatments and costs.

@article{Schneiderman1992EffectsOO,
  title={Effects of offering advance directives on medical treatments and costs.},
  author={Lawrence J. Schneiderman and Richard Kronick and Robert M. Kaplan and John P. Anderson and Robert D. Langer},
  journal={Annals of internal medicine},
  year={1992},
  volume={117 7},
  pages={599-606}
}
OBJECTIVE To examine the effects of advance directives on medical treatments and on patient satisfaction and well-being and to determine whether the enhancement of patient autonomy through advance directives provides a more ethically feasible approach to cost control than does the imposition of limits through rationing. DESIGN Randomized, controlled trial. SETTING University and Veterans Affairs medical center. PATIENTS Two hundred and four patients with life-threatening illnesses, 100 of… CONTINUE READING

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Hospital admissions were monitored to assure that a summary of the document was present in the active medical record at each hospitalization .
Patients randomly assigned to the experimental group were offered the California Durable Power of Attorney ( a typical proxy - instruction directive ) , and patients assigned to the control group were not offered the advance directive .
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