Pugno Perry A
Division of Medical Education, American Academy of Family Physicians, Leawood, Kansas 66211, USA.
Wien Klin Wochenschr. 2004 Jul 15;116(13):417-9. doi: 10.1007/BF03040928.
Advance directives have been available for more than 20 years, yet only 2% of patients report having had a discussion about them with their physician. Physicians and patients appear to be reluctant to bring up the subject despite evidence that patients not only want help with advance directives, but report more satisfaction with their health care when the topic is addressed. The primary care setting is particularly well-suited to the establishment of advance directives. A clearer understanding of the benefits of advance directives to physicians and their patients can hopefully increase the use of this important health care resource.
预立医疗指示已经存在了20多年，但只有2%的患者表示曾与医生讨论过这些指示。尽管有证据表明患者不仅希望在预立医疗指示方面得到帮助，而且在讨论该话题时对其医疗保健的满意度更高，但医生和患者似乎都不愿提及这个话题。初级保健环境特别适合建立预立医疗指示。更清楚地了解预立医疗指示对医生及其患者的益处有望增加对这一重要医疗资源的使用。
