The influence of physician race, age, and gender on physician attitudes toward advance care directives and preferences for end-of-life decision- making

Journal of the American Geriatrics Society

Volumn 47, Issue 5, 1999, Pages 579-591

  Mebane, Eric W ^a,b,c   Oman, Roy F ^c,d   Kroonen, Leo T ^e   Goldstein, Mary K ^b,c,f  

^a KAISER PERMANENTE MEDICAL CENTER   (United States)

^b STANFORD UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c VA PALO ALTO HEALTH CARE SYSTEM   (United States)

^d UNIVERSITY OF OKLAHOMA HEALTH SCIENCES CENTER   (United States)

^e DREXEL UNIVERSITY COLLEGE OF MEDICINE   (United States)

^f VETERANS AFFAIRS MEDICAL CENTER   (United States)

Author keywords

Age; End of life decisions; Gender; Physician preference; Race

Indexed keywords

AGE; ARTICLE; GENDER; HUMAN; INTENSIVE CARE; LIVING WILL; MEDICAL DECISION MAKING; PATIENT CARE; PHYSICIAN ATTITUDE; PRACTICE GUIDELINE; RACE; TERMINAL CARE;

EID: 0032932643     PISSN: 00028614     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1532-5415.1999.tb02573.x     Document Type: Article

References (25)

1. Weeks W, Kofeld L, Wallace A, Welch H. Advance directives and the cost of terminal hospitalization. Arch Intern Med 1994;154:2077-2083.
2. Schneiderman L, Kronick R, Kaplan R et al. Effects of offering advance directives on medical treatments and costs. Ann Intern Med 1992;117:599-606.
3. Garrett J, Harris R, Norburn J et al. Life-sustaining treatments during terminal illness. J Gen Intern Med 1993;8:361-368.
4. Goldstein M, Vallone R, Pascoe D, Winograd C. Durable Power of Attorney for Health Care. West J Med 1991;155:263-268.
5. Smucker W, Ditto P, Moore K et al. Elderly outpatients respond favorably to a physician-initiated advance directive discussion. J Am Board Fam Pract 1993;6:473-482.
6. Caralis P, Davis B, Wright K, Marcial E. The influence of ethnicity and race on attitudes toward advance directives, life-prolonging treatments, and euthanasia. J Clin Ethics 1993;4:155-165.
7. Klessig J. The effect of values and culture on life-support decisions. West J Med 1992;157:316-322.
8. Caralis P, Hammond J. Attitudes of medical students, house staff, and faculty physicians toward euthanasia and termination of life-sustaining treatments. Crit Care Med 1992;20:683-690.
9. Mouton C, Johnson M, Cole D. Ethical considerations with African-American elders. Clin Geriatr Med 1995;11:113-129.
10. McKinley E, Garrett J, Evans A, Danis M. Differences in end-of-life decision making among black and white ambulatory cancer patients. J Gen Intern Med 1996;11:651-656.
11. Davidson K, Hacker C, Caradine D, McCord M. Physician attitudes on advance directives. JAMA 1989;262:2415-2419.
12. Morrison R, Morrison E, Glickman D. Physician reluctance to discuss advance directives - An empiric investigation of potential barriers. Arch Intern Med 1994;154:2311-2318.
13. 12a. Emanuel L, Emanuel E. The medical directive: A new comprehensive advance care directive. JAMA 1989;261:3288-3293.
14. 12b. Emanuel L, Barry M, Stoeckle J et al. Advance directives for medical care - A case for greater use. N Engl J Med 1991;324:889-895.
15. Hallenbeck J, Goldstein M, Mebane E. Cultural considerations of death and dying in the United States. Clin Geriatr Med 1996;12:393-405.
16. Kalish R, Reynolds D. Death and Ethnicity: A Psychocultural Study. Los Angeles, CA: University of Southern California, 1976.
17. Yergan J, Flood A, LoGerfo J, Diehr P. Relationship between patient race and the intensity of hospital services. Med Care 1987;25:592-603.
18. Kahneman D, Tversky A. The psychology of preference. Sci Am 1982;246: 160-173.
19. Kahn K, Pearson M, Harrison E et al. Health care for black and poor hospitalized medicare patients. JAMA 1994;271:1169-1174.
20. Blendon R, Aiken L, Freeman H, Corey C. Access to medical care for black and white Americans - A matter of continuing concern. JAMA. 1989;261:278-281.
21. Johnson S, Kurtz M, Tomlinson T, Howe K. Students' stereotypes of patients as barriers to clinical decision making. J Med Educ 1986;61:727-735.
22. Murphy D, Burrows D, Santilli S. The influence of probability of survival on patients' preferences regarding cardiopulmonary resuscitation. N Engl J Med 1994;330:545-549.
23. Redelmeier D, Rozin P, Kahneman D. Understanding patients' decisions: Cognitive and emotional perspectives. JAMA 1993;270.
24. Oken D. What to tell cancer patients: A study of medical attitudes. JAMA 1961;175:1120-1128.
25. Novack DH, Plumer R, Smith RL et al. Changes in physicians' attitude toward telling the cancer patient. JAMA 1979;241:897-900.