Navigation Links
Majority of Americans avoid addressing end-of-life issues, according to new study
Date:12/9/2013

San Diego, CA, December 10, 2013 During the past two decades, high-profile legal cases surrounding end-of-life decisions have received widespread attention in the United States, prompting increased media focus and numerous debates on the subject.

Despite this continuing nationwide dialogue, many Americans still tend to avoid addressing their own end-of-life (EOL) issues, including the completion of advance directives. In a new study published in the American Journal of Preventive Medicine, a group of investigators examined the factors associated with advance directive completion.

Although various national polls and selected state surveys provide some insight into American attitudes about advanced directives, there is a lack of population-based data regarding advance directive completion among adults. For this study, investigators analyzed data from the 2009 and 2010 Porter Novelli HealthStyles national surveys, which included EOL and advance directive-specific questions.

The team looked at responses from 7,946 participants in the HealthStyles survey and found that only 26.3% had completed an advance directive. The data showed that advance directives were more frequent among women, whites, respondents who had a college degree or postgraduate training, or were married. Respondents with advance directives also were more likely to report having a chronic disease and a regular source of care. The study shows significant associations between completing an advance directive and age, income, education, and health status.

"For black and Hispanic respondents, advance directives were less frequent across all educational groups. These data indicate racial and educational disparities in advance directive completion and highlight the need for education about their role in facilitating EOL decisions," explains Jaya K. Rao, MD, who, at the time the work was performed, was an Associate Professor in the Division of Pharmaceutical Outcomes and Policy at the Eshelman School of Pharmacy, University of North Carolina.

For respondents who had never completed an advance directive, investigators found that the most frequently reported reason for not having one was lack of awareness.

"The study provides information from a large sample of adults on their attitudes and behaviors regarding advance directives," says Lynda A. Anderson, PhD, Director, Healthy Aging Program, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention. "Prior studies have focused on clinical populations, state samples, or certain age groups. People who lack the knowledge to have EOL concerns or discussions or about the role of advance directives in facilitating EOL decisions may represent potential targets for intervention."

While several investigations have shown that health care costs are greatest during the final years of life, researchers found that the use of advance directives was associated with lower levels of Medicare spending and a lower likelihood of in-hospital deaths.

"Given the current discussions about implementing various models of health care delivery, including the patient-centered medical home, EOL issues need to come to the forefront of planning efforts," adds Dr. Rao. "Hopefully, these findings will contribute to the current national conversations about EOL care."


'/>"/>

Contact: Beverly Lytton
eAJPM@ucsd.edu
858-534-9340
Elsevier Health Sciences
Source:Eurekalert

Related medicine news :

1. Study: Majority of epilepsy surgery patients enjoy improvement in their physical and social well-being
2. Unhappy meals? Majority of very young children in California eat fast food at least once a week
3. Non-radiologists perform majority of ultrasound-guided invasive procedures, study suggests
4. Majority of Carriers Are Participating on Only One SHOP, Atlantic Information Services Survey Finds
5. Study: Majority of patients who qualify for lifesaving heart treatment do not receive it
6. High debt load anticipated by majority of medical students; African-Americans most affected
7. Researchers discover master regulator that drives majority of lymphoma
8. New Medical Study Finds Reed Migraine Centers’ Migraine Treatment Highly Effective in Controlling Severe Pain in Majority of Patients
9. Majority of Missouri tan salons allow pre-teens
10. Majority of primary care physicians prefer delivering radiology test results to patients themselves
11. Penetration Testing Identifies Serious Flaws in 95.83% of Companies Tested in 2012. High Bit Security's Year-End Report Shows Majority of Companies Vulnerable to Hackers
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/8/2016)... (PRWEB) , ... February 08, 2016 , ... Steve Helwig ... with a vital new community enrichment program, has teamed up with Citizens Opposed to ... children suffering from intimate abuse. To support all those victimized by the fear of ...
(Date:2/8/2016)... ... , ... Delta Dental of California and its affiliated companies announced today that ... who recently retired as president and CEO of Delta Dental of California and its ... Year , helped lead the effort to raise funds for studies to strengthen pancreatic ...
(Date:2/8/2016)... ... February 08, 2016 , ... Eating disorders and post-traumatic stress ... women and men with eating disorders report a history of trauma, research suggests ... of an eating disorder. , At the 2016 iaedp Symposium, the workshop, ...
(Date:2/8/2016)... ... 08, 2016 , ... GrassrootsHealth published data from its D*action ... diabetes in the GrassrootsHealth cohort with substantially higher vitamin D levels than a ... health,” states Carole Baggerly, Director of GrassrootsHealth, “the safety and benefits of ...
(Date:2/8/2016)... Vegas, Nevada (PRWEB) , ... February 08, 2016 ... ... at RowdMap, Inc., will be speaking on how healthcare companies can use newly ... costs, manage the health of a population and intervene and capture the value ...
Breaking Medicine News(10 mins):
(Date:2/8/2016)... 8. Februar 2016  LivaNova, PLC, Hersteller ... Infografik mit dem Titel „Epilepsy Around the ... der der Krankheit gegenüber ein größeres Bewusstsein ... soll, Medikamentenresistenz bei Epilepsie auf dem Internationalen ... zu machen. Mithilfe der neuen Infografik sollen ...
(Date:2/5/2016)... Va. , Feb. 5, 2016  ivWatch, a medical ... Virginia Outstanding STEM Award granted by Governor Terry McAuliffe,s ... Science Innovation on February 25th at an event to be ... . The STEM award honors professionals and business that have ... Logo - http://photos.prnewswire.com/prnh/20160205/330117LOGO ...
(Date:2/5/2016)... Aethlon Medical, Inc. (Nasdaq: AEMD ), today ... be presenting at Source Capital Group,s 2016 Disruptive Growth & ... at 2:15 p.m. ET on Wednesday, February 10, 2016.  Mr. ... place at 3:15 p.m. ET. http://www.aethlonmedical.com .  The ... the conclusion of the live event. The panel discussion will ...
Breaking Medicine Technology: