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.
|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|
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