Monographie

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Advance directives and medical treatment at the end of life / KESSLER, Daniel P. ; MCCLELLAN, Mark B..
Cambridge : National Bureau of Economic Research, 2003, 29 p.

http://papers.nber.org/papers/w9955.pdf (08-06-2006)
Collection : NBER Working Papers Series ; 9955
Format de fichier : Adobe Acrobat PDF
Droits d'auteur : Cette oeuvre est protégée par un droit d'auteur. Elle ne peut être reproduite qu'à des fins d'études privées ou de recherche et seulement si la source est mentionnée.

Mots-clés principaux
:
Directives anticipées
Fin de la vie
États-Unis
Législation


Résumé :

To assess the consequences of advance medical directives -- which explicitly specify a patient's preferences for one or more specific types of medical treatment in the event of a loss of competence we analyze the medical care of elderly Medicare beneficiaries who died between 1985-1995. We compare the care of patients from states that adopted laws enhancing incentives for compliance with advance directives and laws requiring the appointment of a health care surrogate in the absence of an advance directive to the care of patients from states that did not. We report three key findings. First, laws enhancing incentives for compliance significantly reduce the probability of dying in an acute care hospital. Second, laws requiring the appointment of a surrogate significantly increase the probability of receiving acute care in the last month of life, but decrease the probability of receiving nonacute care. Third, neither type of law leads to any savings in medical expenditures.

Langue : Anglais
Type d'ouvrage AQESSS : DT
Doc n° : 18242
NumRec : 1824203
w9955.PDF
w9955.PDF
 

       

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