Completion of Advance Directives by Older Health Maintenance Organization Members: The Role of Attitudes and Beliefs Regarding Life‐Sustaining Treatment

2002 ◽  
Vol 50 (2) ◽  
pp. 300-306 ◽  
Author(s):  
Arne Beck ◽  
Jonathan Brown ◽  
Myde Boles ◽  
Paul Barrett
Keyword(s):  
Advance Directives ◽  
Health Maintenance Organization ◽  
Attitudes And Beliefs ◽  
Health Maintenance ◽  
Life Sustaining Treatment

Catalysts for Conversations About Advance Directives: The Influence of Physician And Patient Characteristics

1994 ◽  
Vol 22 (1) ◽  
pp. 29-35 ◽  
Author(s):  
Jeremy Sugarman ◽  
Nancy E. Kass ◽  
Ruth R. Faden ◽  
Steven N. Goodman
Keyword(s):  
Decision Making ◽  
Advance Directives ◽  
Clinical Decision Making ◽  
Health Maintenance Organization ◽  
Patient Characteristics ◽  
Clinical Decision ◽  
Sociodemographic Factors ◽  
Medical Decision ◽  
Health Maintenance ◽  
Immunodeficiency Syndrome

Recent legislation, such as the Patient Self-Determination Act, establishes advance directives as an acceptable procedural means of incorporating patients’ preferences for life-sustaining treatments into their medical care. Advance directives can enhance medical decision making since they provide patients with an opportunity to communicate their preferences before suffering from an acute illness that may preclude their ability to do so.Although patients expect discussions about life-sustaining therapies to be initiated by their physicians, very little is known about what prompts physicians to discuss advance directives with their patients. As in other areas of clinical decision making, there is evidence that patients’ sociodemographic factors influence whether discussions about advance directives occur between patients and their physicians. In one study of persons with the acquired immunodeficiency syndrome (AIDS), those who had not had discussions about advance directives with their physicians tended to be non-white, have no prior hospitalization, and were more likely to have been cared for in a health maintenance organization than in a teaching hospital.

scholarly journals The Role of Dual-Trained Conventional/Complementary Physicians as Mediators of Integration in Primary Care

2010 ◽  
Vol 7 (4) ◽  
pp. 487-491 ◽  
Author(s):  
Eran Ben-Arye
Keyword(s):  
Primary Care ◽  
Medical Education ◽  
Primary Care Physicians ◽  
Conventional Medicine ◽  
Health Maintenance Organization ◽  
Referral Letter ◽  
Limited Data ◽  
Health Maintenance ◽  
Medical Referral

A growing number of physicians study complementary and alternative medicine (CAM). Limited data are available on perspectives of physicians with dual training in conventional medicine and CAM, on issues of communication and collaboration with CAM practitioners (CAMPs). Questionnaires were administered to primary care physicians employed in the largest health maintenance organization (HMO) in Israel and to MD and non-MD CAM practitioners employed by a CAM-related agency of the same HMO. Data for statistical analysis were available from 333 primary care physicians (PCPs) and 241 CAM practitioners. Thirty-one of the 241 CAMPs were dual-trained physicians employed in a CAM-related agency as practitioners and/or triage-consultants. Dual trained physicians and CAMPs shared similar attitudes and supported, more so than PCPs, collaborative physician–CAM practitioner teamwork in clinical practice, medical education and research. Nevertheless, dual trained physicians supported a physician-dominant teamwork model (similar to the PCPs’ approach) in contrast to non-MD CAM practitioners who mainly supported a co-directed teamwork model. Compared to PCPs and non-MD CAM practitioners, dual trained physicians supported significantly more a medical/referral letter as the preferred means of doctor–CAM practitioner communication. Dual trained physicians have a unique outlook toward CAM integration and physician–practitioner collaboration, compared to non-MD CAM practitioners and PCPs. More studies are warranted to explore the role of dual trained physicians as mediators of integration.

scholarly journals Consent Issues in the Management of Acute Ischemic Stroke

Neurology ◽  
2022 ◽  
Vol 98 (2) ◽  
pp. 73-79
Author(s):  
Justin A. Sattin ◽  
Winston Chiong ◽  
Richard J. Bonnie ◽  
Matthew P. Kirschen ◽  
James A. Russell ◽  
...  
Keyword(s):  
Acute Stroke ◽  
Advance Directives ◽  
Position Statement ◽  
Decisional Capacity ◽  
Next Of Kin ◽  
Stroke Research ◽  
Consent To Treatment ◽  
Life Sustaining Treatment ◽  
Surrogate Decision

This position statement briefly reviews the principle of informed consent, the elements of decisional capacity, and how acute stroke may affect this capacity. It further reviews the role of surrogate decision-making, including advance directives, next of kin, physician orders for life-sustaining treatment, and guardianship. In some cases of acute stroke in which the patient lacks decisional capacity and no advance directives or surrogates are available, consent to treatment may be presumed. The document describes the rationale for this position and various considerations regarding its application to IV thrombolysis, neuroendovascular intervention, decompressive craniectomy, and pediatric stroke. The document also reviews consent issues in acute stroke research.

Development and Validation of an Immunization Tracking System in a Large Health Maintenance Organization

1993 ◽  
Vol 9 (2) ◽  
pp. 96-100 ◽  
Author(s):  
Thomas Payne ◽  
Susan Kanvik ◽  
Richard Seward ◽  
Doug Beeman ◽  
Angela Salazar ◽  
...  
Keyword(s):  
Tracking System ◽  
Health Maintenance Organization ◽  
Health Maintenance ◽  
Development And Validation

The role of compulsory periodical medical examination in employee’s dental health maintenance

2020 ◽  
pp. 678-678
Author(s):  
E. Y. Leontyeva ◽  
T. Y. Bykovskaya
Keyword(s):  
Oral Cavity ◽  
Dental Health ◽  
Medical Examination ◽  
Health Maintenance

The analysis of the appealability for the rehabilitation of the oral cavity of staff subject to mandatory periodic examinations at the dentist. The growth of indicators characterizing the dental activity of employees was noted. Subject to the principle of continuity, annual mandatory periodic examinations can be one of the factors in maintaining the dental health of employees.

scholarly journals Redefining Forro as a marker of identity: Language contact as a driving force for language maintenance among Santomeans in Portugal

Multilingua ◽  
2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Marie-Eve Bouchard
Keyword(s):  
Language Contact ◽  
Language Maintenance ◽  
Attitudes And Beliefs ◽  
Speech Community ◽  
Group Code ◽  
Community Members ◽  
Sao Tome And Principe ◽  
Semistructured Interviews ◽  
Changing Attitudes

AbstractIn São Tomé and Príncipe, the language shift toward Portuguese is resulting in the endangerment of the native creoles of the island. These languages have been considered of low value in Santomean society since the mid-twentieth century. But when Santomeans are members of a diaspora, their perceptions of these languages, especially Forro, change in terms of value and identity-marking. It is possible to observe such changes among the Santomeans who learn Forro when they are abroad, who use it as an in-group code, and start to value it more. In this article, I address the role of language contact in the maintenance and expansion of Forro. I investigate the mechanisms of language maintenance by focusing on the shifts in community members’ attitudes and beliefs regarding their languages, as a result of contact. The changing attitudes and beliefs have led to a redefinition of the role of Forro in the speech community. This qualitative study is based on semistructured interviews conducted on São Tomé Island and in Portugal. Findings suggest that the change in value attributed to Forro by Santomeans as a result of contact contribute to the valorization of the language.

Sign in / Sign up

Export Citation Format

Share Document