Research report a preliminary analysis of medical futility decisionmaking: Law and professional attitudes

Richard L. Wiener, David Eton, Vincent P. Gibbons, Jesse A. Goldner, Sandra H. Johnson

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Judicial decisions reviewed in this article indicate that courts have taken two disparate approaches to disputes over futility of treatment. To explore whether a consensus on medical futility is developing among hospitals, the authors conducted a nationwide survey of health care professionals at hospitals. Respondents assigned importance ratings to factors used in recent futility decisions made at their institutions. The resulting importance ratings showed significant variation by characteristics of the institution (comparing respondents from for-profit, not-for-profit, and government hospitals) and by profession of the respondent (comparing physicians and nurses). The respondents' judgments endorsed three distinct strategies for making futility decisions (i.e., emphasis on the patient's decision preferences, providing for the patient and family, and adhering to objective medical and social norms).

Original languageEnglish (US)
Pages (from-to)497-508
Number of pages12
JournalBehavioral Sciences and the Law
Volume16
Issue number4
DOIs
StatePublished - 1998

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health
  • Law

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