Effectiveness of advance directives for the care of terminally ill patients in Chiang Mai University Hospital, Thailand
The key hypothesis behind advance directives (ADs) proposes that, if an intervention enhances a person's right to choose, a dying person will not opt for expensive, life-prolonging medical care and an ethically acceptable saving of resources will result. In order to assess the acceptability and...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
2014
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| Online Access: | http://www.scopus.com/inward/record.url?eid=2-s2.0-38949170145&partnerID=40&md5=becab8b0c5637ff07af4b172d5563b70 http://www.ncbi.nlm.nih.gov/pubmed/18257830 http://cmuir.cmu.ac.th/handle/6653943832/4325 |
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| Institution: | Chiang Mai University |
| Language: | English |
| Summary: | The key hypothesis behind advance directives (ADs) proposes that, if an intervention enhances a person's right to choose, a dying person will not opt for expensive, life-prolonging medical care and an ethically acceptable saving of resources will result. In order to assess the acceptability and effectiveness of ADs in reducing cardiopulmonary resuscitation (CPR) attempts and in-hospital death among terminally ill patients in a tertiary care hospital in northern Thailand, a non-randomized, controlled intervention study using an after-only unequivalent control group design was conducted. The majority of the subjects and the surrogates preferred to employ ADs in expressing their preferences on CPR and there was a high level of agreement between the subjects and surrogates on the decision. The use of ADs appeared to be effective in reducing futile CPR attempts and the in-hospital mortality rate among subjects during the index hospitalization. Advance directives were accepted well in this study setting. © 2008 The Authors Journal Compilation © 2008 Blackwell Publishing Asia Pty Ltd. |
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