Farber N J, Weiner J L, Boyer E G, Green W P, Robinson E J, Diamond M P
J Health Adm Educ. 1986 Spring;4(2):205-15.
A report of a study to analyze the effect of sociocultural patient characteristics (age, terminal diseases, drug abuse, alcoholism, mental retardation, dementia, suicide attempts, institutionalization, noncompliance with medical regimens, violent crimes, lack of support system, or relationship to a staff physician) on decisions to initiate or withhold cardiopulmonary resuscitation in an emergency situation. Pairs of vignettes were presented to residents in internal medicine and graduate students in an MBA program for comparisons of physicians' decisions with administrators' decisions. On some patient characteristics there were significant differences between the two groups. For most factors (drug abuse, multiple suicide attempts, age, violent crime, lack of known support systems, and relationship to staff), doctors are more likely to initiate CPR than are business students representing health care administrators. In chronic, long-term situations (carcinoma or heart disease, dementia, mental retardation, and institutionalization), the doctors are less likely to initiate CPR than the business students. If objectivity is a goal in deciding whether or not to initiate CPR, physicians should be aware of differences between their opinions and others'.
一项研究报告，分析社会文化患者特征（年龄、绝症、药物滥用、酗酒、智力迟钝、痴呆、自杀未遂、机构收容、不遵守医疗方案、暴力犯罪、缺乏支持系统或与主治医生的关系）对紧急情况下启动或不启动心肺复苏决策的影响。向内科住院医师和工商管理硕士项目的研究生展示成对的案例 vignettes，以比较医生的决策和管理人员的决策。在某些患者特征方面，两组之间存在显著差异。对于大多数因素（药物滥用、多次自杀未遂、年龄、暴力犯罪、缺乏已知支持系统以及与工作人员的关系），医生比代表医疗保健管理人员的商科学生更有可能启动心肺复苏。在慢性、长期情况下（癌症或心脏病、痴呆、智力迟钝和机构收容），医生比商科学生启动心肺复苏的可能性更小。如果客观性是决定是否启动心肺复苏的目标，医生应该意识到他们的观点与其他人的观点之间的差异。
