Teno Joan M, Sabatino Charles, Parisier Lauren, Rouse Fenella, Lynn Joanne
J Law Med Ethics. 1993 Spring;21(1):102-8. doi: 10.1111/j.1748-720x.1993.tb01235.x.
As of December 1991, the Patient Self-Determination Act (PSDA) mandated that health care institutions which receive funding from Medicare or Medicaid provide written information about persons' rights to participate in medical decision-making and formulate advance directives. The PSDA required each state "...acting through a State agency, association, or other private nonprofit entity develop a written description of the law of the State (whether statutory or as recognized by the courts of the State) concerning advance directives that would be distributed by providers or organizations under the requirements of [the Act]." This mandate allowed each state considerable flexibility in its approach to the process of writing the state description and to its content. In 1990, the American Bar Association's Commission on Legal Problems of the Elderly prepared and distributed the Patient Self Determination Act: State Law Guide to assist each state in preparing its written description of state law. In follow-up to the distribution of this guide, we conducted a telephone survey with a representative from each state (including the District of Columbia) about each state's process for writing the state law description. This paper presents an evaluation of the process used by the states and of the documents they produced.
截至1991年12月，《患者自主决定法案》（PSDA）规定，接受医疗保险或医疗补助资金的医疗机构需提供书面信息，告知患者参与医疗决策及制定预先医疗指示的权利。PSDA要求每个州“……通过州机构、协会或其他私人非营利实体，编写一份关于该州法律（无论是成文法还是该州法院认可的法律）中有关预先医疗指示的书面说明，供提供者或组织根据[该法案]的要求进行分发。”这项规定使每个州在编写州说明的过程及其内容方面有很大的灵活性。1990年，美国律师协会老年人法律问题委员会编写并分发了《患者自主决定法案：州法律指南》，以协助每个州编写州法律的书面说明。在分发该指南之后，我们与每个州（包括哥伦比亚特区）的一名代表进行了电话调查，了解每个州编写州法律说明的过程。本文对各州使用的过程及其编写的文件进行了评估。
