Dissertation/Thesis Abstract

Factors associated with patients' decisions to sign advance directives
by Li, Xuejia, M.S.H.A., California State University, Long Beach, 2013, 48; 1523047
Abstract (Summary)

The objective is to identify factors associated with patients' decisions to sign advance directives (ADs). Retrospective database analysis was performed on 9,416 current home health patients and hospice discharges patients from the 2007 National Home and Hospice Care Survey (NHHCS). Documentation of ADs continues to rise in America, specifically in home and hospice settings. Do-not-resuscitate order (DNR) and durable power of attorney were the most common types of ADs. Self-pay patients were the population having the highest rate of having an AD. Older age, race (White), sex (male), mental illness and life expectancy were factors influencing the likelihood of choosing an AD. Efforts to improve ADs documentation rates call for consideration of the decision-making associated factors analyzed in this study as well as others such as healthcare professionals or family members.

Indexing (document details)
Advisor: Reynolds, Grace
Commitee: Erlyana, Erlyana, Sinay, Tony
School: California State University, Long Beach
Department: Health Care Administration
School Location: United States -- California
Source: MAI 52/01M(E), Masters Abstracts International
Subjects: Public health, Health care management
Keywords: Advance directive, End of care, Long-term care
Publication Number: 1523047
ISBN: 978-1-303-20220-9
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