Roe J M, Goldstein M K, Massey K, Pascoe D
Stanford University School of Medicine, CA.
Arch Intern Med. 1992 Feb;152(2):292-6.
Fifty-nine healthy senior center participants were interviewed to determine how, when, and why the durable power of attorney for health care is being used. The 21 users of the durable power of attorney for health care executed a form for the expected reasons; however, a majority had not given a copy of the form to their physician and few had discussed details of their preferences with the proxy. Of the 38 nonusers, the most frequent reasons for not executing a durable power of attorney for health care were: lack of awareness of the form, procrastination, and difficulty choosing a proxy. The new Patient Self-Determination Act requiring hospitals to inform patients of advance directives will help to overcome some of the obstacles in use of the durable power of attorney for health care; however, community education must still be encouraged.
对59名健康的老年中心参与者进行了访谈，以确定医疗保健持久授权书的使用方式、时间和原因。21名医疗保健持久授权书使用者出于预期原因签署了一份表格；然而，大多数人没有将表格副本交给他们的医生，很少有人与代理人讨论过他们偏好的细节。在38名未使用者中，不签署医疗保健持久授权书的最常见原因是：对表格缺乏了解、拖延以及难以选择代理人。新的《患者自主决定法案》要求医院告知患者预先指示，这将有助于克服医疗保健持久授权书使用中的一些障碍；然而，仍需鼓励社区教育。
