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Do Physicians' Own Preferences for Life-Sustaining Treatment Influence Their Perceptions of Patients' Preferences? A Second Look

Published online by Cambridge University Press:  29 July 2009

Lawrence J. Schneiderman
Affiliation:
A professor in the Departments of Family and Preventive Medicine and Medicine, School of Medicine, University of California, San Diego.
Robert M. Kaplan
Affiliation:
Professor of Health Care Sciences, University of California, San Diego.
Esther Rosenberg
Affiliation:
A research associate in the Department of Family and Preventive Medicine, University of California, San Diego.
Holly Teetzel
Affiliation:
A research associate in the Department of Family and Preventive Medicine, University of California, San Diego.

Extract

Previous studies have documented the fallibility of attempts by surrogates and physicians to act in a substituted judgment capacity and predict end-of-life treatment decisions on behalf of patients. We previously reported that physicians misperceive their patients' preferences and substitute their own preferences for those of their patients with respect to four treatments: cardiopulmonary resuscitation (CPR) in the event of cardiac arrest, ventilator for an indefinite period of time, medical nutrition and hydration for an indefinite period of time, and hospitalization in the event of pneumonia.

Type
Special Section: Alpha and Omega: Ethics at the Edges of Life
Copyright
Copyright © Cambridge University Press 1997

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References

Notes

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