Prevalence of Advance Directives Among Diverse Patient Groups: A Record Review

2.50
Hdl Handle:
http://hdl.handle.net/10755/149357
Type:
Presentation
Title:
Prevalence of Advance Directives Among Diverse Patient Groups: A Record Review
Abstract:
Prevalence of Advance Directives Among Diverse Patient Groups: A Record Review
Conference Sponsor:Sigma Theta Tau International
Conference Year:2001
Conference Date:November 10 - 14, 2001
Author:Worral, Priscilla
P.I. Institution Name:SUNY Upstate Medical University
Objective: The intent of the Patient Self Determination Act of 1991 was to promote the education of the general public concerning advance directives with the goal of increased awareness and utilization. Results of several studies across the United States indicate, however, that 15% or fewer of the adult population has an advance directive. The purpose of this study is to obtain descriptive data identified in earlier research as correlated with presence of an advance directive, but relevant to local population groups. These data will provide community demographic information to assess whether the central state area reflects national statistics and to identify areas for future intervention. Design: A descriptive comparative study using a retrospective record review for data collection. Sample: A 10% random sample of records of outpatients over 18 years of age who were seen between January 1, 1999, and December 31, 1999, in each of three diverse practice settings. Setting: Settings include an adult oncology practice which covers a 17-county region, a teaching family practice including multiple providers who provide care for families in rural and urban areas within a 3-county region, and a large medical center-based geriatric clinic which provides care to patients from diverse socioeconomic and ethnic backgrounds. Variables: Variables measured include: presence of an advance directive, documented discussion of an advance directive, provider discipline, practice site, presence of chronic disease, number of previous hospitalizations, self-reported health status (if available), and patient demographics (age, gender, marital status, children [yes/no], ethnicity, religious preference, education level [if available]). Unique patient identifiers are not being collected. Instruments: Data are being collected manually by investigators using a log sheet developed for this study and piloted on 20 patient records to assess ease of use and clarity of instructions. Findings: Data collection is completed in the family practice setting (n=208), in progress in the geriatric clinic (current n=44), and just beginning in the oncology practice, with expected total completion in early Fall, 2001. Based on completed record review, 3.8% of adults seen in the family practice clinic had an advance directive. Those with an advance directive were significantly older (mean age with = 66 yrs, S.D. 13.3; mean age without = 49 yrs, S.D. 17.2; p<.01), but with no significant difference in presence of chronic disease or previous hospitalizations. Based on in-progress record review, 19.5% (8 of 41, 3 records missing these data) of those seen in the geriatric clinic had an advance directive. Again, age was significantly (p<.01) associated with presence of an advance directive, with a mean age of 86 yrs (S.D. 2.6) for those with an advance directive versus a mean age of 78 yrs (S.D. 6.7) for those without.
Repository Posting Date:
26-Oct-2011
Date of Publication:
10-Nov-2001
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePrevalence of Advance Directives Among Diverse Patient Groups: A Record Reviewen_GB
dc.identifier.urihttp://hdl.handle.net/10755/149357-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Prevalence of Advance Directives Among Diverse Patient Groups: A Record Review</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2001</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">November 10 - 14, 2001</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Worral, Priscilla</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">SUNY Upstate Medical University</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">worralp@upstate.edu</td></tr><tr><td colspan="2" class="item-abstract">Objective: The intent of the Patient Self Determination Act of 1991 was to promote the education of the general public concerning advance directives with the goal of increased awareness and utilization. Results of several studies across the United States indicate, however, that 15% or fewer of the adult population has an advance directive. The purpose of this study is to obtain descriptive data identified in earlier research as correlated with presence of an advance directive, but relevant to local population groups. These data will provide community demographic information to assess whether the central state area reflects national statistics and to identify areas for future intervention. Design: A descriptive comparative study using a retrospective record review for data collection. Sample: A 10% random sample of records of outpatients over 18 years of age who were seen between January 1, 1999, and December 31, 1999, in each of three diverse practice settings. Setting: Settings include an adult oncology practice which covers a 17-county region, a teaching family practice including multiple providers who provide care for families in rural and urban areas within a 3-county region, and a large medical center-based geriatric clinic which provides care to patients from diverse socioeconomic and ethnic backgrounds. Variables: Variables measured include: presence of an advance directive, documented discussion of an advance directive, provider discipline, practice site, presence of chronic disease, number of previous hospitalizations, self-reported health status (if available), and patient demographics (age, gender, marital status, children [yes/no], ethnicity, religious preference, education level [if available]). Unique patient identifiers are not being collected. Instruments: Data are being collected manually by investigators using a log sheet developed for this study and piloted on 20 patient records to assess ease of use and clarity of instructions. Findings: Data collection is completed in the family practice setting (n=208), in progress in the geriatric clinic (current n=44), and just beginning in the oncology practice, with expected total completion in early Fall, 2001. Based on completed record review, 3.8% of adults seen in the family practice clinic had an advance directive. Those with an advance directive were significantly older (mean age with = 66 yrs, S.D. 13.3; mean age without = 49 yrs, S.D. 17.2; p&lt;.01), but with no significant difference in presence of chronic disease or previous hospitalizations. Based on in-progress record review, 19.5% (8 of 41, 3 records missing these data) of those seen in the geriatric clinic had an advance directive. Again, age was significantly (p&lt;.01) associated with presence of an advance directive, with a mean age of 86 yrs (S.D. 2.6) for those with an advance directive versus a mean age of 78 yrs (S.D. 6.7) for those without.</td></tr></table>en_GB
dc.date.available2011-10-26T10:00:48Z-
dc.date.issued2001-11-10en_GB
dc.date.accessioned2011-10-26T10:00:48Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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