Linked Life Data

17447604

Source:http://linkedlifedata.com/resource/pubmed/id/17447604

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2007-4-23
pubmed:abstractText
This qualitative interview study in The Netherlands and North Carolina (US) found that physician treatment decisions are influenced by contextual differences in physician training and healthcare delivery in the US and The Netherlands. Dutch physicians treating nursing home residents with dementia and pneumonia assumed active, primary responsibility for treatment decisions while US physicians were more passive and deferential to family preferences, even in cases where they considered the families' wishes inappropriate. Dutch physicians knew their patients well and made treatment decisions based on what they perceived was in the best interest of the patient while US physicians reported limited knowledge of their nursing home patients due to a lack of contact time. Efforts to improve care for patients with poor quality of life who lack decision-making capacity must consider the context of societal values, physician training, and the processes by which physicians negotiate patient and family preferences.
pubmed:grant
pubmed:language
dut
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
0167-9228
pubmed:author
pubmed:issnType
Print
pubmed:volume
38
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
6-13
pubmed:dateRevised
2011-1-26
pubmed:meshHeading
pubmed:year
2007
pubmed:articleTitle
[A cross-cultural study of physician treatment decisions in relation to demented nursing home patients who develop pneumonia].
pubmed:affiliation
Department of Family Medicine, University of North Carolina, Chapel Hill, NC 27599-7595, USA. margaret_helton@med.unc.edu
pubmed:publicationType
Journal Article, Comparative Study, English Abstract