| Titre : | Preferences in end-of-life care of older persons : after-death interviews with proxy respondents. (2004) |
| Auteurs : | Marianne KLINKENBERG ; DEEG (Dorly-Jh) : NLD. Longitudinal Aging Study Amsterdam. Institute for Research in Extramural Medicine. Vu University Medical Centre. BT Amsterdam. ; Bregje-D ONWUTEAKA-PHILIPSEN ; Gerrit VAN DER WAL ; Dick-L WILLEMS ; Vu University Medical Centre. Institute for Reseurch in Extramural Medicine. Department of Social Mediane. Amsterdam. NLD |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 59, n° 12, 2004) |
| Pagination : | 2467-2477 |
| Langues: | Anglais |
| Mots-clés : | Personne âgée ; Homme ; Mort ; Mortalité ; Entretien ; Europe ; Europe sociale ; Famille ; Pays Bas ; Accompagnement mourant |
| Résumé : | [BDSP. Notice produite par INIST-CNRS R0xw49CK. Diffusion soumise à autorisation]. This population-based study employing after-death interviews with proxies describes older persons'preferences regarding medical care at the end of life. Interviews were held with 270 proxy respondents of 342 deceased persons (age range 59-91) in the Netherlands, The deceased were respondents to the Longitudinal Aging Study Amsterdam. The prevalence of advance directives (ADs), preferences for medical decisions at the end of life (i.e. withholding treatment, physician-assisted suicide euthanasia) and preferences about the focus of treatment in the last week of life (i.e. comfort care versus extending life) were examined. Written ADs were present in 14% of the sample. A quarter had designated a surrogate decision-maker. Co-morbidity and perceived self-efficacy (PSE) were positively associated with ADs. About half the sample had expressed a preference in favour or against one or more medical decisions at the end of life. Predictors positively associated with expressing a preference were co-morbidity, dying from cancer, and PSE. Being religious was negatively associated with expressing a preference. The knowledge of the proxy regarding the older person's preference for the focus of treatment was dependent on the patient's symptom burden as perceived by the proxy. The majority of older persons had died without either an AD, or having expressed preferences for end-of-life care. Stimulating the formulation of ADs may help professionals who work with older people to understand these preferences better, especially in the case of non-cancer patients and those with low PSE. |
Service Documentation EHESP
Me connecter
PORTAIL DOCUMENTAIRE
École des hautes études en santé publique
Catalogue
Multi-bases
Accueil
Sélection de la langue
Adresse
Service Documentation EHESPBibliothèque Rennes Avenue du Professeur Léon Bernard – CS 74312 – 35043 Rennes Cedex Bibliothèque MSSH Paris 20 avenue George Sand - 93210 La Plaine Saint-Denis
France
Bibliothèque Rennes : 02 99 02 29 50 Bibliothèque MSSH Paris : 02 99 02 24 50
contact