Lester Paula E, Sykora Alzbeta, Wolf-Klein Gisele P, Pekmezaris Renee, Auerbach Charles, Feuerman Martin
Division of Geriatric Medicine, Winthrop University Hospital; and Stony Brook University Medical, Mineola, New York 11501, USA.
Gerontol Geriatr Educ. 2009;30(1):61-74. doi: 10.1080/02701960802690290.
Previous research has been conducted regarding preferences of physicians for life-sustaining treatments for themselves, but there is a dearth of data on personal use of advance directives (ADs) by geriatricians specifically. Using a phone survey, we contacted all graduates of the geriatric fellowship program to assess their personal use of advance directives and their personal preferences for life-sustaining treatment. Of the 124 living graduates of the Parker Jewish Institute for Health Care and Rehabilitation, 70 agreed to participate. One third of respondents had established ADs for themselves, with higher rates in women than men (p = .054). Older geriatricians were significantly more likely to have advance directives (exact trend test yields, p < .0001). In general, respondents did not inform their health care providers about their desires for end-of-life care. This study revealed that the majority of fellowship-trained geriatricians did not formally establish advance directives for themselves. Further research is needed to determine whether physicians who establish advance directives for themselves are more likely to encourage their patients to do so.
此前已有关于医生对自身维持生命治疗的偏好的研究，但专门针对老年医学专家个人使用预立医疗指示（ADs）的数据却很匮乏。我们通过电话调查联系了老年医学 fellowship 项目的所有毕业生，以评估他们个人对预立医疗指示的使用情况以及他们对维持生命治疗的个人偏好。在帕克犹太卫生保健与康复研究所的 124 名在世毕业生中，70 人同意参与。三分之一的受访者为自己制定了预立医疗指示，女性的比例高于男性（p = 0.054）。年龄较大的老年医学专家更有可能拥有预立医疗指示（确切趋势检验结果，p < 0.0001）。总体而言，受访者并未将他们对临终护理的意愿告知其医疗服务提供者。这项研究表明，大多数接受过 fellowship 培训的老年医学专家并未为自己正式制定预立医疗指示。需要进一步研究来确定为自己制定预立医疗指示的医生是否更有可能鼓励他们的患者这样做。
